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SAN JOAQUIN COUNT <br /> 1� ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> cl dam <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S L C Date: <br /> Address: City: QH+erQ Zip Code: <br /> Owner/Operator: 0 i/ �n S LTC Telephone: <br /> Program Element: liw(9 Program Record: NA„O 3S 73 Inspection Type: <br /> SB180 Posted D Yes 0 No Permit Posted 0 Yes O No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE'ACTIMIS <br /> a Nd <br /> Bas <br /> all <br /> /- <br /> s s e <br /> >< <br /> —ay Gas _ <br /> 62u rc yao wl <br /> /1i:gra Sin�s�ic - (mss — O/C <br /> 9temlLocation •Temperature {Item I Location Temperature' Item I Location Temperature' <br /> V. r 1 oii /-� 14 '� <br /> INA ik + SOLo� h r /� .s S /'749 a D" <br /> - <br /> Food Safety Certifications- Facility Hot Water Temperature _ Warewashing i <br /> Name: O.C.0 MQ !�S Hand Sink: O `F hlo a OQ ppm eat: 'F <br /> Exp.Da _ S arewashing Sink: 'F uat.Amm.: ppm ther: "F <br /> Received By I Title . <br /> EH Specialist: Phone: <br /> Time in: Time Out: O:�s Page of <br /> d <br /> EHD 16-24 )2n°pg) 419112 FOOD PROGRAM OR CONTINUATION <br />