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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �4.. •a�P• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.s'gov.org/ehd <br /> <<FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: (,, L. L. 3 Date: Z L <br /> ddress: p City: / h Zip Code: <br /> Owner/Operator: 1-kn. rLe L Telephone:7X706) <br /> Program Element: Program Re rd: /h X71 - ( Inspection Type:�4 Vl, <br /> SB180 Posted Yes D No Permit Posted Yes/D No l G Re-Inspection on or After: <br /> OBSERVATIONS ARID CORRECTIV ACTIONS <br /> ✓ . GL<jktG <br /> jvt <br /> i <br /> i <br /> c , G� 0-- <br /> �- Vk7 if / <br /> Vt� f a'h ✓/d' <br /> �< d <br /> / 14 o en n <br /> a( <br /> oNamel: <br /> `/ L,A /nr Hand Sink: eF Chlorine: ppm Heat: aF <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: (i L�r�/ Phone: <br /> Time in: 1 Time Out: PageLof <br /> EHD 16-24 (211 pg) 413113 r� FOOD PROGRAM OIR CONTINUATION <br />