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SAN JOAQUIN COUNTY <br /> H ,Z{ ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . •.. - ;�• Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> R�rF�.R�i <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: le v e n jkao 10 g L Date: Y,12,16 <br /> Address: W• (CA/0 L_ re City: Tr G C y Zip Code: <br /> Owner/Operator: 761 Tq L Telephone: <br /> Program Element: Program ecord: Inspection Type: <br /> SBt80 Posted 0 Yes 0 Rermit Posted [-)Yes 0 1 Re-Inspection on or After: <br /> A" •AGNS:......,.... <br /> r wo"i p _ a w e Is. f����e 1 a ai/o l <br /> 0.. r JJ i ev c r 0(4 P1 - - <br /> Ot re, '� _ tbde V - - - — <br /> 3 a; }C' i r%m ee- le on r.,r7or .J- on <br /> Tem�re <br /> �is <br /> 35 or) <br /> -rot,J,�+ P(v _.. . _.._------------- <br /> Pal 06 —Lis .1'r /; LL) '2 <br /> sem: ertr <br /> to <br /> 3o111Vr iivaasfrin <br /> Name: r Hand Sink: �Uof hlorine: Heat: of <br /> irl'Yf�jl '�iF _ iGr — <br /> Exp.Date: 'T -are—washing Sink: 124 of 11 Quat.Amm.: ppm Other: aF <br /> Received By!Title: <br /> EH Specialist: - Phone: <br /> Time in: Time Out: Page of <br /> l2. 3� <br /> EHD 1&24 (2nd pg) 43113 FOOD PROGRAM OIR CONTINUATION <br />