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°"'" SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c..: ;P• Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> 9GjjcpRi� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: A yn o L La Y' Date: ',C„3 I_/ <br /> Address: oLJ ,IJ. \ur� n a City: 6+0 e��n Zip Code: � 5�O c f <br /> Owner/Operator: S1114 <br /> Telephone: 9 a_cJ 225 <br /> Program Element: VD `$ Program Record: �n 3� 3 Inspection Type: 2D_` <br /> SB180 Posted ❑Yes J.,No Permit Posted $( El No Re-Inspection on or After: <br /> ✓� of <br /> OBSERVATIONS ANIJ CORRECTIVE ACTIONS <br /> .t> <br /> 6z (80 ei k r V is gz ko Lc Lo <br /> Name: Ha ink: ® of Chlorine: ppm Heat: of <br /> Exp.Date: 7 arewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: 4 <br /> WQ <br /> EH Specialist: �( G Phone: L✓�_ ��0� <br /> Time in: ; -�c Time Out: 1 Q 0 2 Page. of <br /> -aZ <br /> EHD 16-24(2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />