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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �4`IFda�;p Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sioov.oro/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: luaa <br /> Date: <br /> Address: City: Zip Code: <br /> J9152 <br /> Owner/Operator,.- Telephone: <br /> La <br /> Program Element: Program Record: S^ Inspection Type: ,�o <br /> 6180 Posted Yes No Permit Posted Ye No Re-Inspection on or After: <br /> RRECT E ACTIONS <br /> Alec I <br /> ation Temperature Item I Location <br /> eGon Facility Hot Water Temperature , Warewashing� <br /> Name: (Hand Sink: Z� �F Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: �Z � 'F uat.Amm.: ppm ther: of <br /> Received By/Title: -5 20q_ 4._ L-r25 <br /> EH Specialist: Phone: 0 _ <br /> Time In: Time Out: Lftgsof <br /> EHD 16-24 (200 pg) 4013 FOOD PROGRAM OIR CONTINUATION <br />