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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT , <br />Name of Facility: L (tA (t) -(1I) li itS7aV <br />Date: i i L i2Ll 2 <br />Address: 5S- )0(iv, \ .AA 1 c5rlyi) \k ,,i11/4_,\ , City Zip Code: : ' 1 <br />Owner/Operator: q 411(r11i i 1 1-4A-Lez - ef24 a <br />Telephone: <br />Program Element: I ,"2.--)1 ,, Program Record: <br />0 S Lt, -ui 1 LI, <br />Inspection Type: 11.1 <br />SB180 Posted No Permit Posted Yes (Nod Re-Inspection on or After: <br />I <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />.. 1 1 tf li-44-11 <br />194 41/1„.„ MT° 01, Or Pv.e.cidcail-e, <br />'c___e-t iri9--e,0--1 (AO itotkiv vutfdtonc no <br />oiv....., )1) (ccAAQ 24/5, M(1, LE 19-e-t1114- <br />...cce_ <br />Is GM( <br />Item/Location Temperature Item / Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: o F Chlorine: PPm Heat: . <br />Warewashing Sink: . Coat. Amm ppm Other:.: . Exp. Date: <br />Received By / Title: <br />EH Specialist: r <br />Time in: Time Out: Pag9 off <br />EHD 16-24 (2na pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION <br />Pi2 09- goc-i-L-(