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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.sjgov.ora/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />kL u,�, <br />��-- a Lk7 <br />Date: <br />ddress: �u <br />�� K �_ City: <br />Zip Code: <br />Owner/Operator:32nZ <br />Telephone: <br />Program Element: Z <br />Program Record:q C <br />_/ <br />inspection Type: L <br />SB180 Posted Yes No <br />Permit Posted Yes No Re -Inspection on or After: <br />T VE ACTION <br />OU rt e <br />✓ <br />v Lj'KV kA- ✓w� 9 i! <br />lydtILAUL� 101/LI4-f✓ <br />IJ A Vliom <br />2 %✓ ✓\ A <br />, <br />— l v 1 v v\ (�• f YC SM -0t <br />I <br />�L/.• <br />✓WVLA `.0 <br />Q✓ [A4A . <br />Q. <br />t• a <br />ire <br />. <br />S <br />✓QG iA� lvt L l(( vw' CAt — <br />Item/L ' <br />v <br />( <br />�F <br />r v r VJ- <br />dsa}ety_ •,__.Facility <br />Name: u ry ,,, , <br />�•W v <br />L{ F W0S <br />Hot Water Temperature. <br />VI and Sink: -F hlorine: - <br />`rewashing <br />PPM Heat: <br />? ti <br />of <br />Exp. Dat : <br />arew hing Sink: .F <br />uat. Amm.: <br />PPM <br />Other: <br /><F <br />Received By / Title: <br />EH Specialist: ` <br />t Phone: <br />— Z <br />Time In: <br />I <br />Time Out: <br />Page of <br />EHD16-24(2mpg) 413(13 FOOD PROGRAM OR CONTINUATION <br />