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OPgUI"• c SAN JOAQUIN COUNT Y <br /> .Z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> a: X <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Cq..,J �P Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sugov.org/ehd <br /> LrFoa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: LCL Gc rd" . Date: 2 - 4, <br /> Address: IS � ` < S. S� ve i h s City: 1 i ` h �` zip code: CIS 33 G <br /> Owner/Operator: 1 L r Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted _ Yes No Permit Posted -,Yes L No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> j L) v. Q! �L' �� I .l (e �1 /r' r L Gir <br /> r 2 s <br /> k e r G �C4 ru OQed 01 f Q1 W A C4 n <br /> V n•. te ('4C, i lily. 4 404V <br /> ,, s Yeb - r Wei C2 n V a rear r: Q �C'ej. <br /> rRe n rn Ce .s <br /> /O GY'S CI ✓e 1 h rP A p! /0 <br /> rc e•r\ _N06,; r rG .9A 0 J- ; on h <br /> KtAU �en5 �S S �Oree� �n Co r U)C1 S �eyr� <br /> le n i; 1s n Cot G Ur Ll Or l r <br /> 5 Or ho 4 r . C f3 r re e4- n <br /> Item/Uwation Temperature Item!Location Temperature „ p Item/Location ,, Temperature <br /> ) �; ,, �� _ �N� ��•-�/o�r 3> l" <br /> Food Safety Certification Facility Hot Water Temperature , , - Warewashing <br /> ........ ....... ............. ._.... <br /> _.�... <br /> Name: �_ r L. ` Hand Sink: 'F Chlorine: �! ppm Heat. 'F <br /> Exp.Date: �• U Warewashing Sink: of Quat. Amm.: ppm Other: of <br /> Received By/Title: �` I <br /> EH Specialist: Poone: <br /> Time in: I Time Out: U Page of 7 <br /> EHD 16-24 (2nd pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />