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o•PAK{ft.A SAN JOAQUIN COUIv' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> a :P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.silloy.orq/ehd <br /> { IF6'AN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ✓ Lo5 y Date: <br /> Address: 501 1 <br /> L4-Ll City: + / Zip Code: .2-0 <br /> Owner/Operator: Telephone: q77(P 133 <br /> Program Element: I Program Record: �� ✓.'• -75G)?- Inspection Type: j 7„ y�„AZA <br /> 8180 Posted�l Yes No Permit Posted Yes No Re-Inspection on or After: �0��1�„ .,�Y,� <br /> J` <br /> OBSERVATIONS AND CORRECTIVE ACTIONS. <br /> 'fh.Q Wit-- :+ "g- _- 0A� CZ6 Le r La&4!;5boor <br /> CIA A <br /> ),t r <br /> (3 a1rS )TA Y7 d-`s'f->_& L 5 ".Al 70rW +0 tom• _5 - U-t AR <br /> WYI 77u4. df C1 <br /> VLOZ7.f <br /> Y1 r1% kWt16-e m.&IL�a rGkLcLu <br /> Yt1 4-i -z& CLGt-� <br /> ✓►� Kia-c n <br /> Y LL <br /> r x A-1.4.0 S0 0_&a 7.1 FLoo 1r S•j^-r- <br /> l) �`I�-lC- a� bar___- W i28.1•e—st5� 1-e a.IGi v� a 1z-c_ ' r <br /> ire <br /> U% ra 4i 2't'eL to r'I Ka Le v-e_Q 5 1zaU <br /> e i r h 0 rr-Fi I rS a^-e- c1e7 K¢ <br /> 3 _Te- oL4 n-a,ryL.Zrla-kol Dori 14 !t Zre n-h' <br /> i.e,-k v, 4, 11.i `z a (64? ShaLf <br /> R Y►L <br /> �S-FO KL?_a tin bzi n • 64-M r�- <br /> _— - _ - <br /> ..-.. - I em/Location Temperature Item/Lecanon Temperature <br /> LI J1 14 <br /> f;ZA Le,' - - — 144aje� L:'% <br /> Food Safety Certification 'Facility Not Water Temperat --..,. �WWaewashing-'HandSink: 'ne•ay ppm Heat: =F <br /> Exp.Date: areweshing Sink: of uat.Amm.: PPM ther: .F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> ime in: foTime Out: /.;L� Page of <br /> EHD 1624(2e°pg)4r413 FOOD PROGRAM OR CONTINUATION <br />