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oaQ�l" SAN JOAQUIN COUI ' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q•...•�,.N:P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.siQov.orq/ehd <br /> <<pOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT Mar'q <br /> Name of Facility: 5 a L.t• . w12, <br /> "r Ytov-+tm •-a a Date: r a <br /> Address: rte. L4_ !;rn't i'% City: 6,4-oCAL,On Zip Code: <br /> Owner/Operator: errltsto 0 i Z«-A,e-Lb Telephone: 44(A _ 9-)0-7 <br /> Program Element: ��f�0 Program Record: Cc C?Q 3�0� . Inspection Type: 1 ,1 <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> QBSERVATMtONS11+�U, aC3RRECTIUE <br /> 'g, <br /> .�.^V �.:.¢oc\ <br /> S "'• <br /> cl.......... a bu r r h-iv 0" �►1�� ..___ a►jn`04 ._._...._ <br /> ----.... •t' ........................ <br /> ._........__...._.............................._.........._-._-.--._...._..................................- ------------------- ._._.__.._.__---.......................... -- <br /> C%......__..... U C1-1 S-c> <br /> ---...................-._.--.. <br /> ' o Ica -to Goo 1L W h.v +—&v�-k( _ -44�4- ,51 .0- - iron <br /> �.►-� a L0 PL. Ll Q SU-=q Q 4L-L,;d` <br /> r • <br /> Ob ry � n <br /> i cl"A Ir0 cus <br /> a.►->d1 c. _n der__ ___... _-c.o rn ._. _ . , ._ _ _[_r)? V_ - - _r-.e-_d-4a <br /> I ' <br /> _ CW-+S....-.... 173.0.� L- <br /> r� 47-) U' JQS/ <br /> �l'r115 <br /> () Gia &L-6 b r <br /> .. U rLx ,-.-(v <br /> h�„ � •Gy .�.� la <br /> sE,�x2191 i. lf8t1�llotf0 r �� r�^ - s' = `` BFitpeatUfB. to at! z 'a Temperature:: <br /> a <br /> �.`3^0w..<.sr....... .. <br /> Name: Hand Sink: of Chlorine: PPM Heat: `F <br /> Exp.Date: Warewashing Sink: `F Quat.Amm.: PPM Other: 'F <br /> Received By/Title: r <br /> EH Specialist: Phone: 0163- 72) <br /> _._.—_..-......_.....-� Q _ <br /> Time in: 1 . 1 Time Out: ` ,bD Page,of <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />