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iia"!'"' SAN JOAQUIN COUNTY <br /> �. '•.4G <br /> i X ENVIRONMENTAL HEALTH DEPARTMENT <br /> - - 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �4..•.•. ,.�;;P Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s'gov.org/ehd <br /> LlpOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 5 — LAI h r L 5 C h ao Date: <br /> Address: ! q 7 W L G I r C City: f P � Zip Code: <br /> Owner/Operator: 1 L Telephone: <br /> Program Element: Program Record: Inspection Type: n�V 4; <br /> L <br /> 5B180 Posteda No Permit Posted No Re-Inspection on or After: !� <br /> ARAVATlIONSAND CORRECTIVE A�11 <br /> eeSL_' 0 ; (ri, err a C jeryi per,-Iu re I <br /> r in �� r� u _ or be 1&w y I <br /> 6 C10'r, 1 WGrMe, r- <br /> _- <br /> ftet_ocaiata Tenn, .store �irrfit f f s�cataon Temperature <br /> fc+rn ISP,. -- 02__-oor)_ q I F tzs. <br /> 'lr 1 a -__ t ! 3 S f <br /> P ✓- G,r ( door ) �cf� it cru X1 37- <br /> Food Seft :cerci <br /> cxa fap�l f1 3lVat pE <br /> �. ,.tioWarevuastaIng <br /> Name: / k Q Hand Sink: Jof Chlorine: ppm Heat: of <br /> L� l <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By 1 Title:0 L <br /> EH Specialist: Phone: <br /> Time in: !?. Time Out: O Page of <br /> FHD 16-24 (2-pg} 413113 / FOOD PROGRAM OIR CONTINJATION <br />