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P41'" SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPAh fMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sogov.org/ehd <br /> L�F ORN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: -, pyla ; `tel`-1 Date: ` .I <br /> Address: 1 G' /zri, rl City: L�f Zip Code: <br /> Owner/Operator: .1' \ 1 �C, ' t� Telephone: <br /> Program Element: I Program Record: j71ZC32 �� Inspection Type: )"_ <br /> SB180 Posted Yes No Permit Posted Yes No Re-inspection on or After: <br /> ba ERVATI&9AND£COmECTIV»Aff&s mti <br /> d <br /> Cl LSU v) an fiv dok <br /> (n G ,(Aej Cin cgon baqv aps - stere 1\ cmen <br /> bacps 61 ioc)d ccs a _todct <br /> Item/Location Temperature Item!'Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewaswrig <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Ouat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: (2 Page hof <br /> EHD 16-24 (2"1 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />