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0 SAN JOAQUIN COUNTY <br /> ? � OG <br /> 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 /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Loat U6 Date: <br /> Address: City: Zip Code: <br /> Owner/Operator: 1 Telephone: <br /> 1 <br /> Program Element: Program Record: Inspection Type: <br /> 8180 <br /> Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> SAW <br /> A�<A t\a X\CkWa)�" :t) 10()-(W <br /> CA <br /> I <br /> ItemlLocati n 7emperatti' <br /> ow Food Safety Certification Eacllity Hot Water Temperature crew <br /> Name: Hand Sink: F hlorine: ppm Heat: 'F <br /> Exp. Date:__ - Lwashing Sink: 'F uat.Amm.: ppm her: �F <br /> Received By/Title <br /> EH Specialist: Phone: <br /> Ime in: ✓Vl Time Out: Page o <br /> EHD 1 E24 {2n°pg) 413113 1 FOCI)PROGRAM OIR CONTINUATION <br />