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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> `. <br /> # 600 EAST MAIN STREET,STOCKTON, CA 95202-3029 <br /> TELEPHONE:(209)46$-3420 FAX:{209}464-0138 WEB:WWW.SJGt]v.ORG1EHD <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: L ol Ve-i <br /> } Ar jllP 4, Date: 7- Q 9 <br /> Address: t-' dq 5e c . o^ City. i K h <br /> zip Code: s :2)S <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> IS 6180 Posted C Yes C No Permit Posted 1]Yes �7 No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> s . 5 era , h <br /> a (A C 01 <br /> L- 1 0Sec '.0n - Il y 0b <br /> SGC lose +4r► ; 1 a <br /> O CC(A! <br /> A ) col P45 , n -Irro of Me A + Mar of <br /> arm Wee 4 ; <br /> ( e Q P11 <br /> Item!Location Temperature Item 1 Location Temperature Item 1 Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: -F Quat.Amm.: ppm Other: OF <br /> Received By!Title: 0". A414 <br /> EH Specialist: Phone: 3 J� ` <br /> Time in: 3tl Time Out: !r �?: So 0 Page of l <br /> EHD16-23 (2nd pg) 8114108 J V FOOD OIRCONTINUATION <br /> 08114108 <br />