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zo�4.rAo SAN JOAQUIN COUNTY <br />?a ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />�qt Fda� P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.s' v.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: Li <br />_ <br />Zip Cod i <br />J <br />Telephone: <br />VProgram Element: program Record, <br />,r <br />Inspection Type�.: <br />zi�posted� No Re-Inspectlon on or After: <br />I/ �� ♦ i���'.� <br />it i� ��--' 'Ir�l•�l�!�►7�i�.uL� <br />,i <br />•��.�-,:, Wil- <br />_ <br />PWA FA <br />V� <br />Facility Hot Water Temperat reIIIIIII� <br />Hand Sink: F <br />• <br />... <br />Exp. Date:/�`' <br />' <br />ppm <br />Received By/ 'PEH <br />Specialist: <br />Time ' <br />i <br />EHD 16-24 (2n°pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />