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• apo"'"• SAN JOAQUIN COUNTY <br /> n ys <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c'.., a Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.siooy.orp/ehd <br /> 9�I FURS <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Lm �Q_ \' c � o :tt b ''3 Date: <br /> Address: City: C Zip Code: <br /> Owner/Operator: C 21QV J Telephone: <br /> Program Element: 1 b3S program Record/ Inspection Type: <br /> 8t 80 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS ANR CORRECTIVE ACTIONS <br /> � r n1 C, N <br /> b <br /> 2 \ i <br /> V,L_ 1 <br /> Y ?,023 Co <br /> C'Q :4- t2-2A- <br /> I b 13b <br /> C V L32 3 21q <br /> Item/Location Temperature Item Location Temperature <br /> Food Safety Certification. Facility Hot Water Temperature Warewashing <br /> Name. _ Hand Sink: - F\' <br /> Chlorine: Heat: .F <br /> I—�t1 vee —� c 5 I l l Ppm <br /> xp.Date: (_ _ 2 arewashing Sink: I2,0 of Oust.Amm.: PPM Other. - of <br /> Race!715;1'!y/0X <br /> d1'!y/0 • O jA <br /> EH S ialis : 1 Phone: ZDol_ to I lo— 302 <br /> Time in: ' o q V� Time Out: 16 1. <br /> 3"1 Page-,ff <br /> EHD 1&24 (2n°pg) 41313 T FOOD PROGRAM OIR CONTINUATION <br />