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o44'µ1"' SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />P: -1 <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />•c.., ;p. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siaov.ora/ehd <br />4C/FOM1� <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: 1 A L I_SDate: <br />Address: 1 t City: <br />LIN 21p Code: y S <br />Owner/Operator: <br />Program Element: I Program Record: �7 16 491 F� <br />i O <br />Telephone: <br />Inspection Type: RT I-�. t <br />N <br />8180 Posted es o Permit Posted Yes No <br />Re -Inspection on or After: <br />OBSERVATIONS AND CORREC <br />L <br />"' ACTIONS <br />JLi Ct✓t2 C <br />w 0 B'rA 10 <br />c "To SJ <br />RSr'T w 1-t 1 <br />'T ►iE - C06MAAJ <br />T L <br />WC6 ER15SW P <br />O V D AT <br />'T' +1 <br />T - — -r µ E c <br />'l <br />p C O <br />rj T kc -EE <br />o N T <br />N WF of <br />I T <br />T M <br />T <br />P IN St <br />t - <br />c <br />0" S rr <br />Pe —A cedi� -PRo 0&=Z 6*k=3B4:* swts <br />— De- cw L��R -- BEL. l 'c 4-7 F <br />" ocatio' . "— ure <br />4 -b -p 46 6- <br />Item l Location <br />biSPL.WCASE CaxE1Z4 4 <br />t.. w -t <br />3-b ii <br />- c IP46i' L► <br />u I <br />- <br />I <br />M GAT W A Uc," 10 COO `i• I;= - b2 tg2Ep Cly —LEy- I 39'= <br />-.00d safety Certlfica, :' Facility Hot Water Temperature I Warewashing <br />Name: KkEeziED Hand Sink: 160 e6- Chlorine: 21( ppm Heat: =F <br />l! <br />Exp. Date: <br />arewashing Sink: rf Z <br />�F <br />Ouat. Amm.: <br />PPM Cher: =F <br />Received By/ Title: <br />Eli Specialist: L A M <br />p <br />Phone: 209 -- '56 1^ p 9 Z3 <br />Time in: I I .• A M <br />Time Out: 1 • i 1. C, Page.. of <br />EHD 16-24 (2o0 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />