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h <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> J. 600 East Main Street, Stockton, CA 95202-3029 <br /> r�-,r •..;a Telephone: (209) 468-3420 Fax:{209)464-0138 Web:vvww.siaov.orglehd <br /> �IFORN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Date: 03—�to <br /> Name of Facility: [ <br /> 4 LlB! Q J , Zi Code: <br /> ddress: �ul�� F} City' CsrleC p 33c <br /> OwnerlOperator: � L7,-'Are <br /> JAre 4P <br /> Program Element'. Program Record: ��� 7� Inspection Type: �7it 0—� <br /> SB180 Posted Yes 0 No Permit—Posted, 'Yes ❑ No o[ Re-inspection on or After'S <br /> OBSERVATIONS AND CORRUPTIVE AQTIONS <br /> i J <br /> I <br /> C a�d re <br /> 1' S f <br /> W1IuK � 0 3 <br /> �T+9.eNe2_ <br />{ <br /> Itermllrocation Temperature Item. Location i Xemperature alterti 1 Location Temperature;; <br /> Foal Safety Certification ,:Facility fot;WaterTempe�ature-.. Warewas _ <br /> king _ <br /> Name: A �l0 rl Hand Sink: of !ori a ppm Heat: aF <br /> Exp.Date: oS arewashing Sink: of Quat.Amm.. ppm Other: 'F <br /> i Received By 1 Title:' ' <br /> EH Specialist: Phone: <br /> L� <br /> Time in: Q Y. /� Time Out: Page of <br /> EHE 16-24{2^d pg} 11/2109 !� FOCI PROGRAM CIR CONTINUATION <br />