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• oP4ftl�•.c SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 8q.,•T ,..• P Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: L u b J Date: 1— :5-23 <br /> Address: ? c t ` �� City: Zip Code: <br /> Owner/Operator: J v� Telephone: <br /> Program Element: \\_\ Program Record: C ::T Inspection Type: <br /> SB180 Posted ']Yes ❑ No Permit Posted C Yes ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 1 'z. � .._ <br /> \ \_Q L ' -1 -ISI - — "2e E \ <br /> 3 I = 1 <br /> w b\)r A <br /> ',\ Fo ti - <br /> z- <br /> a. e c 1\e da. `A 1 c cl \4 F <br /> 3ryNeese l `'10 h z� e 11 <br /> \ n ' <br /> 59E C. Co, d.Q� 4 <br /> 3 \5a" <br /> - <br /> -�rn \25 'J — r e \ So \ <br /> oc-\-o P 2"A F r'\e c\ e e 1 \ ^ + 3 <br /> v� '10 F <br /> e <br /> '40 P -t�> \Vs F <br /> \ 3 — 3b <br /> cc 12 1u 1 = V'rof " s ,�ac2 1 <br /> 2� \� 1� : 1�1L �O LG�i c e v 1o\\I� , X10 P <br /> IEemlLocaEion Temperature "'' Item/Location Temperature . Item I Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: Ppm Heat: of <br /> Exp.Date: arewashing Sink: =F Quat.Amm.: PPM Other: of <br /> Received By/Title: e \e <br /> EH Specialis • Phone: <br /> Time in: \ Time Out: IT Z-bJ2 Pag f <br /> Li <br /> EHD 16-24 (20°pg) 419112 FOOD PROGRAM OR CONTINUATION <br />