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SAN JOAQUIN COUNTY <br /> N` ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . c... ;P Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.siaov.or /q ehd <br /> 4��FOQ� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: L7 _ Date: <br /> 11129123 <br /> Address: i Zip Code: <br /> 12-11 5 <br /> Owner/Operator: Telephone: <br /> Program Element:' & <br /> rogram Record: S Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-inspection on or After: <br /> AWWWWM " IONS AND CORRECTIVE ACTIONS <br /> Az <br /> 1 <br /> \ GeP <br /> Item/Location Temperature <br /> _ Facility Hot Water Temperature _ Warewashing <br /> Name: Hand Sink: ZD =F Chlorine: WPP <br /> Heat: of <br /> Exp.Date: z arewashing Sink: 12 t of uat.Amm: Ppm Other: of <br /> Received By/Title: AA �09 <br /> l <br /> EH Specialist: r Ph019 = Zone: / ^ <br /> b &; <br /> ime In: & I ! Time Out: I Page of <br /> EHD 16-24 (2o0 pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />