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*F:0 <br /> SAN JOAQUIN COU& <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> lephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.si4ov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Lv L00V'j Q Date: $ <br /> Address: , , \ rn ry%�r ��J o <br /> City: < cx_ n Zip Code: 17 5,;t-t a <br /> Owner/Operator: %LWCQriOI n Telephone: <br /> Program Element: t lo'ZL{ Program Record: p R O 5 a 00 Inspection Type: <br /> SB180 Posted P(Iyes No Permit Posted (Yes No Re-Inspection on or After: <br /> OBSERVATIONS ANQ CORRECTIVE ACTIONS <br /> U5+ o-yk wa LA Y-ot c Kz cL <br /> 7- C.t.Jr SGI n i-P) -2-o r Y Z S-e-f- {- <br /> U n-.2 6ef oe Lo k-2,,l cl oo rs o +o <br /> Li c, . a,n 4 r 2- <br /> Item/Location <br /> Item/Location Temperature Item 1 Location Temperature <br /> U ry-Ca G2 `'� o Yl.��--- --- `f mor <br /> Li m-A-kWs / Sgnd . Pkeor1 3a <br /> �lM ra°F <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: vQ Yi• rC 61` Hand Sink: ��`� / of Chlorine ppm Heat: of <br /> Exp.Date: Ware_ ss g Sink: I.Z-USF QLut.AAmm.: ppm Other: eF <br /> dR <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: `O+�© Time Out: Page of �. <br /> EHD 16-24 (2n°pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />