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SAN JOAQUIN COU; r <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.s*gov.org/ehd <br /> C i i=O'Ra <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: L�,W� Y1'Lc Date: <br /> �TTZ/ <br /> ddress: !�7 City: Zip Code: <br /> Owner/Operator: 4 Telephone: <br /> Program Element: �- V ogram Record: OS-L-349 Inspection Type N �11,14 � 01 <br /> K80—Posted s ❑ Permit Posted es ❑f Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> v <br /> r <br /> 170°F 7 <br /> Item/Location Temperature !, Item 1 Location= <br /> ✓V�G�/�/�! h _ fit✓�'� 1_37F <br /> UP L <br /> Food Safety Certification Facility Hot Water Temperature <br /> - _ r <br /> Name: �i �� iHand Sink: of Chlorine: 7ppmeat: ofa FExp. Date: arewashing Sink: ofQuat.Amm.: ther: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: + 2V Pagcf?of 7 <br /> C_ <br /> EHD 16-24 (2^ pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />