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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.sigov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: LE \ Cf Y_-}- ` Date: <br />ddress: ESQ E City: i _ lt_ _ zip Code: pl 5 <br />Telephone: <br />wnerlOperator: L� 0 --t <br />Program Record: 5 ` OCL Inspection Type: <br />Program Element: \b Z's <br />B180 Posted D Yes ❑ Rermit Posted ❑ Yes n I Re -Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />0 — 3'. W <br />v2 <br />1Q_CA.r.\ <br />15'k l F t o ' \ -}'z�) e-0.3 ( 0j FJe-\� . <br />2 <br />\ A N <br />-AO \ �S <br />r�rr� h n \C)O = <br />V�\2 \x\13 "- \ c ( Si 1SS <br />139 le I��i reams > s5 , <br />C -n S; c 1S5F ers— <br />,'� -\_- j_14'r, �J�\�� -e-, d :jam A1nr" "\,0s;^k t40F+ <br />Item/Location =• <br />\ 3 — s\ ; ed es (4o <br />lie FI <br />`-At <br />$ es \ q F <br />c c �c r. CtTc I I F <br />/�,.�( <br />-facility Hot Water Temperature �' Warewashing <br />Nam e--rc SC v and Sinks `F Chlorine. ppin (Heat: .F <br />Exp. Date: � _ — rewashing Sink: `'\y� 'F Quat. Amm. 1-1 ov PPM they: ,F <br />Received By/ Title:, GAS \ ( <br />EH Specialis k \ Phone:00�, h v� `Y _ <br />V c—Peg <br />Time in: ' v `OC7 Time Out: I 1 ' � � <br />EHD 1624 (2 -pg) 413113 FOOD PROGRAM OR CONTINUATION <br />W1 <br />