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09, JOAQUIN COUi ' <br /> N: c :< <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sogov.org/ehd <br /> �rFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: e L ��I Date: 1_ I <br /> Address: ,� - S. e�l r ,L]U City. rcnt h CG ro Zip Code: 9 5 2 <br /> Owner/Operator: U <br /> r� V 16� Telephone: 9 F'3- 6 70 <br /> U ( , <br /> Program Element: n Program Record: ' 2 y V 0 Inspection Type: a nd <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> Obi Vv!a I tvilu CCrrede66 exec ' <br /> 3 - Co ke <br /> v ' a r ! js. go lc.re i wee it <br /> W11aMPfl, S re arc C les WCre user . / aucde in <br /> Item/Location �—Temperature Item%Location Temperature <br /> Food Safety Certification Facility Hot water Temperature Warewashing <br /> Name: Hand Sink: (o& t of Chlorine: PPM Heat: °F <br /> Exp.Date: Warewashing Sink: of Ouat.Amm.: PPM Other: of <br /> Received By/Titled i <br /> C LW <br /> EH Specialist: Phone: <br /> Time in: Time Out: 7 Page of <br /> 1 <br /> EHD 16-24 (2^a pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />