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R <br /> aaPa Q,Fo �5 SAN JOAQUIN COUN�� <br /> a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.siaov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �, -v L1 -f— Date: J <br /> ddress: t u Aglo ;t City: Zip Code: <br /> wner/Operator: 6 Telephone: <br /> Program Element: f, Program Recork42d: InspeMiOn Type -1 n <br /> B180 Posted I.-I Yes _ No Permit Posted ❑Yes ❑ o Re-Inspection on or After: <br /> yl D <br /> p h k t K <br /> L t V- <br /> adG� t - <br /> 3 {vt -fly <br /> ✓ 1ti <br /> I Ali( <br /> UVB I✓l. 1 1 <br /> (C� <br /> L CQtI-lV lj y 1 �C ( .L F <br /> E_c lv I t I <br /> I Z CC Chi ' <br /> 77— <br /> bfety Certification F_. <br /> ty.Hot Water Temperature Jia.::.: m_...� . .`Warewashing , <br /> Name: k; ,.F Chlonne: FPm Heat: �F <br /> Exp.Date: hing Sink: of Ouat.Amm.: Ppm Other: -F <br /> ESpecialist: <br /> itle: <br /> Phone: <br /> Page of <br /> Time Out: (' 9 1 <br /> EHD 1624 (2n;Pg) 4013 FOOD PROGRAM OIR CONTINUATION <br />