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oeavin.•.c SAN JOAQUIN COUN'k - .l <br /> 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.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: f L&W --CK Date: S J 77/7 <br /> - <br /> Address: <br /> Y//? <br /> / , �pa0* City: Zip Code: <br /> Owner/Operator: ( II1/ l ./ -�nA Telephone: <br /> Program Element: Program Record: S 3/ 1;` Inspection Type: �(,f� <br /> 6180 Posted I iX 0 Yes D Remit Posted ❑Yeess 51 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Gl a1L2 <br /> YtQ <br /> y 'T Ae .;(Ivi <br /> U un ue�c <br /> y - &vt <br /> 4P A-W <br /> VI(d 4r4r1_t rn <br /> yr <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> hlorine: <br /> Name: and Sink: "F ppmeat: `F <br /> Exp.Date: arewashing Sink: `F uat.Amm.: ppm ther: "F <br /> Received By I Title: COOL <br /> EH Specialist: Phone: <br /> Time in: /� Time Out:4( 14 Q'- Page at <br /> EHD 1624 (2.m pg)d4/3113 FOOD PROGRAM OR CONTINUATION <br />