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SAN JOAQUIN COUNTY <br /> y`, nAVIRONMENTAL HEALTH DEPAHTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c... ip Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.si4ov.orq/ehd <br /> 0 ClFORi� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: IC I L t '�A LA u r, Date: I LF <br /> Address: ` c� 11„r�o I"� City: �� 2 6� Zip Code: Cl <br /> Owner/Operator: Q no Telephone: <br /> Program Element;_ . ��� Program Record: (�� G L �- Inspection Type: ._L <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: �e <br /> eve 0 t- . J jeo n tea <br /> u 1 n i CA -ID stwe CjrT_A- tn�\[_ <br /> r T C }s a� `'� . c1 u �v C'F c� <br /> he vvv �d� <br /> iuor o -�Caa <br /> N0 t UI)I cue eecA _,In `T-� S . - .er <br /> in S <br /> On i Un5 ,-;� . 0_� Itz 10�_ �1z�r.� C0 r <br /> Ilf'os ��- n . <br /> ruu i <br /> r nk. K-e Tn G i ire r,� <br /> r 1-r-u re <br /> a r `F r <br /> M C Cou9 r I"F <br /> Name: p_i V S�h�I�� Hand Sink: U O 'F Chlorine: 50 ppm <br /> i Heat: 'F <br /> Exp.Date: 1— C.l arewashing Sink: 'F uat.Amm.: ppm Other: 'IF <br /> Received By/Titl <br /> EH Specialist: JA Phone: '7 <br /> ime in: 11: Time Out: Page of <br /> EHD 16-24 (2M pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />