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aP`�µ''"• SAN JOAQUIN COON. - <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.s'gov.org/ehd <br />FOOD -PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: L <br />S l 1 <br />Date: 1 <br />Address: ' l <br />l <br />ALI Vt <br />City: ay` <br />Zip Code: C, ^•2 <br />J <br />Owner/Operator: <br />elephone: <br />Program Element: <br />Program Record: <br />Inspection Type: <br />/`7N <br />53180 Posted Yes No <br />Permit Posted Yes No <br />Re -inspection on or After: <br />` 9 1 <br />` <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />� u <br />f <br />110 2P 6f ' <br />3 -t n.4 arl� <br />_ ' <br />K <br />n <br />D' <br />mu 36' .Z4 y <br />4 Y&ICLIA4 i 6,I <br />AlfflU <br />ll W ( <br />l rte rh . <br />Food Safety CertRication acility Hot Water Temperature <br />Warewashing <br />Name: <br />Exp. Date: <br />Hand Sink: <br />arewashing Sink: <br />`F <br />of <br />Chlorine: <br />Oust. Amm.: <br />PPM <br />PPM <br />Heat: <br />"F <br />Other: <br />'F <br />Received By/ Title: <br />- c <br />EH Specialist: <br />Phon : I� `r [i -0 7J2 <br />7 <br />Time in: <br />Time O : <br />Page <br />of ` <br />EHD 16-24 (20 pg) 1/111112 FOOD PROGRAM OIR CONTINUATION <br />