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SAN JOAQUIN COUNTr` <br /> ?� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www siaov org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: L n Date: 1_7 <br /> —12 <br /> ddress: 7 City: Zip Code: C�s3 <br /> J Y t1 r G <br /> OwnerlOperator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> 56180 Posted 1 Yes No Permit Posted ❑Yes ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS Alik <br /> bucks lj /. <br /> a <br /> 7je <br /> � '•C 1c1� � G : C /GC 1 cI <br /> r, t0 i h r3 O i <br /> Sol 11 ' a Z t. , D 20G cq <br /> emperafure_ Its /Coca <br /> G r1 ! 1= -/M, C-C, l 11 Q/ru/irs Ul l <br /> Ccna;,•: Jc, l Y1 � S h• r 3y �'l�OGr All <br /> - Facility Hot Water Tempera' <br /> Name: L ` �Jt� /Gr Hand Sink: I��. oP Chlorine: PPm eat: aF <br /> 1V j <br /> Exp.Date: S' I 3 1 arewashing Sink: of <br /> Q. <br /> Amm.: ppm ther. F <br /> Received By/Title: Makk&_ ' <br /> , <br /> EH Specialist: Ph e: ?/b r <br /> Time in: lo Time Out: Page of-2 <br /> EHD 16-24 (20°pg) 419112 FOOD PROGRAM OIR CONTINUATION <br />