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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.orgiehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility . S Li, p La' 1-4 e - cit. Li L T.' i-os --(:&. 14 Date: - <br />?i- .---k <br />Address: q so City: <br /> <br />Zip Code: 53_65 <br />Owner/Operator: s 6 A 1.6 5 A r e II 0 fl. <br />Telephone: 93 q q ...1 <br />) 10 <br />Program Element: I 6 0 3 Program Record: 5 Roo5q I-7 4 <br />Inspection Type: Ailew co r 4 <br />SB180 Posted u Yes 0 No Permit Posted 0 Yes 0 No Re-Inspection on or After: <br />,i;d i- ,,,y ,OCr..5 f I : a r10 (A5. r,ii _e,,,Lci_ast <br />eA close _lb 014- 0 yi) GI ril ef r : or- I- 6 op <br />3ivSc1ii 5 0 a_49 a rx_ d p 0 per -10.iel d;s penSer7 <br />a lloWeal so^ Cr4,In ca .d tk) o cooK ih,) <br />CI Ss etv) b 1; ri <br />0 nc 0 fees ito (it <br />1. -kr e rind <br />. . , <br />f <br />illhitrgifood SafetyZirtWation <br />Name: <br />— Facility Hot Water Temperature Warewas g.. <br />Heat: o Hand Sink: o F <br />oF <br />Chlorine: ppm <br />Quat. Amm.:PPm Exp. Date: Warewashing Sink: Other: o <br />Received By / Title: % 1 <br />EH Specialist: / 7 / <br />Phone: <br /> / Cr i/6 r <br />Time in: -1=L:‘. %at26` 0 Time Out: Page <br />/ <br /> of <br />/ <br />END 16-24 (2ria pg) '11/2/09 <br /> FOOD PROGRAM OIR CONTINUATION