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SAN JOAQUIN COUN . <br /> b ?� ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ... `b.. Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.siaov.oro/ehd <br /> 9(IFUf�t� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: LeCel 1-f n� Date: 14— .2 q-�s <br /> ddress: (� 10 ACity: S 4 Y n Zip Code: 9 51 0 6 <br /> wner/Operator: ^ Telephone: S.y-lay 3 <br /> Program Element: U3 Prog ec rd: S 00 4 12 97 Inspection Type: 60nJ14 14b4ron <br /> 8180 Posted 0 Yes 0 Permit Posted Dyes of Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> - <br /> ✓; uoG! I a n q gIfr l ra: L cA <br /> d hA A al1 <br /> in I we r IC <br /> 3 IQq r Sell - ccs ;, dC V; Ce tvk ) <br /> /1 Adan /e,, Y. <br /> T rc ✓. s�EWC4 4rr in le 4 Ce n ! Woe <br /> • +UPerm ; 1" Or 20) 5 OnCI 4 ow A AYE porn q <br /> aturs hemi Location -� Temp are ture <br /> Warewashing' <br /> Name: and Sink: !OU .F hlorine: Pp. Heat: -F <br /> Exp.Date: lWarewashing Sink: I Z3 r <br /> OF uat.Amm.: PPm (Other. 'F <br /> Received By/Title: Avp <br /> EH Specialist: Phone: <br /> Time in: P+ Time Out: 8;,-� Page of <br /> EHD 16-24(2nO Pg) 4013 C � FOOD PROGRAM OR CONTINUATION <br />