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o.P441H• SAN JOAQUIN COUNTY <br /> ?� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sioov.oro/ehd <br /> aciPdYi�: <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 0 Luw <br /> Date: Z 3 <br /> Address: 20vivimm <br /> City: Zip Code: <br /> ner/Operator: . I pp <br /> w I„ Telephone: <br /> Program Element: Program Record' 1•I Inspection Type: <br /> 6180 Posted Yes No Permit Posted Yes No �! Re-Inspection on or After: <br /> t! !1 U r tit! G <br /> NQr <br /> J <br /> temperature - <br /> ✓ L F <br /> ecility Hot Water Temperature - Warewashing. <br /> Name: 1H <br /> and Sink: 'F Chlorine: ppm Heat: -F <br /> Exp.Date: arewashing Sink: -F oust.Amm.: PPM Other: of <br /> Received By/Tit[ \ u <br /> EH Specialist: Phone: U <br /> Time in: I Time Out: I !/ Page/of <br /> EHD 1624 (2' p9) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />