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,4PA.so SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />bac/Faa�;p Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.s'oov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />-2 -�:J N L• t ( 4 <br />Date: i <br />Z <br />Address: Lv <br />City: <br />Zip Code: IK3S <br />Owner/Operator:` <br />Telephone: <br />Program Element: <br />[ Program Record: AF�^ ;7_7 -1 <br />Inspection Type: <br />/ <br />SB180 Posted (Yesl <br />No Permit Posted Yes • No Re -Inspection on or After: <br />RVATIONS AND CORRECTI E ACTIO <br />AMY V = 1 <br />NA <br />! -P/� ltUU h CQ-, <br />m / Location`*1111 <br />ure <br />-ood <br />f Facility Hot Water Temperature <br />Chlorine: <br />Warewashing <br />ppm Heat: <br />-F <br />LName: USI, 'fi g - - j' Hand Sink: 1 / � I I I. o f <br />V l�/ `T <br />ate: <br />Oil <br />I arewashing Sink: -F <br />A <br />Ouat. Amm.: <br />PPM <br />Other: <br />of <br />Recelved By / Title: <br />J <br />EH Specialist: <br />Phone: <br />J ., i - !l <br />UVJ l V <br />qb <br />me in: <br />Time Out: <br />Page of <br />EHD 16-24 (2 -pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />