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r <br /> SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.orgiehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: L, LA, i'VVI) l It Date: ) i li 1/4'L 3 <br />Address: Ci 1.) 6 c -11„.0,,,A,..k., 12..4I k TT City: Zip Code: <br />Owner/Operator: I . Telephone 2A) (I) pit ...64, <br />LAANV1,0 li1 /4— <br />Program Element: i tort) Progradi Record: Inspection Type: <br />tail/ <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS Irr <br />ac II" vp ( , / t-stc i et ,--- 1 1 : 4y ..1--t <br />ilit 11-Le J' v rn ra.ivi <br />t../ <br />I 4-0 rYovIve.--, eht) ( titv,arotu toicift,- ---)--w kvgi $ptske <br />do kovt l rtioneit avyq.v--- <br />p arnioed <br />„„LAN/Avr _, 6aZfil‘j, Digtle.1- va , <br />1 i_ist.- I vi -TA_ v c.cp i-or- 0 v\ (3 vrA4 -t-v-vm- Otif- <br />J1)., Di- toottittvki vp Ak- -friAu 4-1 vo_e_ , 66,ferv-(a a_ <br />CI -1-0 WelA k‘ Jai^ fAA-- I i ht-C4- 4--c, 9 v---e..”, a 1 vA-e.-- <br />-H.Npt,4-- u-e. A ifvo I- poinipii 4-i? <br />orr/vb,i. 4,D ,,,,, <br />ot k-etiv,..1 <br />IAA vv16-e —v actifira I <br />v-ekkv. •-ruct <br />? <br />a- 1 A Srlia A0 occv( I kk DIAL Vitt*--I <br />1111.11111V9t&m/Locatibn Temperature = Item / Locatl - TWP,PeCalPS!.. <br />—7 <br />AillillWLy Certification Facility Hot Water Temperature Warewashing <br />Name: IHand Sink: F hlorine:PPm Heat: <br />Exp. Date: arewashing Sink: F Quat Amm •Other: PPm <br />Received By / Title: , <br />EH Specialist: C s 11. <br /> Kt- MA 1(A, <br />Phone: ),QC ----7 (4M <br />Time in: (1. ,...-1 T—ime 01-7t-r7 1..,()K Page o <br />EHD 16-24 (2'4 pg) 413/13 <br /> FOOD PROGRAM OR CONTI