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SAN JOAQUIN COUNO <br /> a` ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: X <br /> _ e 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c4., a�P Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s* ov.orq/ehd <br /> C/FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: L L I Date: ''- 13 <br /> Address: 0 5 5 f1ara cu City: Zip Code: LT r��3 <br /> (. /J d <br /> Owner/Operator: Ir Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted Yes No Permit Posted 'ryes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 41- & L4 V " j . 3 "�Ole <br /> iP C104na b le j C6 a Sin U <br /> And (4 be 1 60orrOCI 4cc/ <br /> S Gtr ryl W01 <br /> h prove je too CA 1<r qn 11 <br /> di5rA 's r ;of / / <br /> 3C h 1 P,5 n 1 or la c 1a <br /> �0 S NO Y it r rc IV:46 <br /> S n r ) r o <br /> W G C S Ora n - U S irq:n 40 G <br /> Sf V-QA r Qn Q n 61 61V4owe- <br /> ho 4 orn O 4r. r e q4skeJ <br /> Pe VYI d ve 0e, )e n <br /> /00-se- ryt p�19ar. r 161 or; i n <br /> C. <br /> qR d 10 ro V. ¢ n r 5 #r; n 4 i r% 0,e► /ez. <br /> S ft H r ; <br /> i W 7 R S. <br /> a c ; ► , h as b(A d-u le I n e FiA G l314 <br /> (a -i ri q <br /> W /0 / P"/Y; dP a n <br /> Ve a n / re e <br /> ltem/Location Temperature Item/Location/ Temperature Item!Location Temperature <br /> -- - <br /> ,1171 <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: '114- <br /> 1 / 4 of Chlorine: PPM Heat: o f <br /> Exp.Date: Warewashing Sink: y 1 eF Quat.Amm.: ppm Other -F <br /> Received By/Title j 1� f- <br /> EH Specialist: - / Phone: <br /> Time in: I <br /> s Time Out: ✓ Page of L <br /> EHD 16-24 (2-pg) 4/9/12 FOOD PROGRAM OIR CONTINUATION <br />