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�.. SAN JOAQUIN COUNTY <br /> a�AUIF• c <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> 4clFoa�;> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 77b I� DLA f- J - .� t Date: S 2; ' yt <br /> 1- <br /> ddress: '1,. City: / Zip Code: <br /> i <br /> Owner/Operator: kL _l Telephone: <br /> Program Element: .L Program Record: -, n Inspection Type: Y w <br /> SB1 BO Posted .. Yes No Permit Posted ❑Yes ❑ N f^� Re-Inspection on or After:j <br /> I ' <br /> l <br /> OBSERVATIONS AND CORRECTIVE ACTION <br /> I GC l t, Gr' P <br /> AL4'l. Gt lL-e� • an ✓GLI <br /> 1 � 2 <br /> GLG Gt I/K df � <br /> v rt.e aCl^ -tj-- a _P( <br /> u (/vr c�k -e ccl - >/ <br /> j'vralLc <br /> Cu <br /> CC tic 7 a <br /> c <br /> 4� f� n � <br /> n okT ti o ire . <br /> vl J 4- - ,4*k l F 0" <br /> otvl Gulp. a (VV — <br /> wiA444r Go a 6 urs <br /> Hot Wa <br /> ame: end Sink: "F hlorine: ppm eat: "F <br /> Exp.Date: arewashing Sink: 'F puat.Amm.: PPM er: of <br /> Received By/Title: <br /> EH Specialist: ` .L Una: <br /> Time in: Time Out: Page of <br /> 42 <br /> EHD 16-24 (2b pg) 1/18/12 FOOD PROGRAM OIR CONTINUATION <br />