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SAN JOAQUIN COUI.r-.Y <br /> z ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 98205-6232 <br /> _. Telephone:(209) 46i3-3420 Fax:(209)464-0138 Web:www.s'clov.org/�ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Faciiity: L e c,?A.. C J k J U r� ��.) � r r� Date: <br /> Address: �? City: Zip Code: <br /> Owner/Operator: 20 Telephone: '1 Z'3 <br /> Program Element; Program Record: () R O 5 O 3 Inspection Typ 19,M <br /> SE180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Pro cr dam__. r i tb s 4 <br /> ,- a <br /> rJPS <br /> -- ` Dl� I A4 n r ►c.R_& ..(q'_r�r Ls rw� Cd -e rim'h <br /> �Ib�_r 7C6 o-_ , - cl�rz_ <br /> Item/Location Temperature Qj Item!Location Temperature <br /> Y" 1e I i r Cp d <br /> Inc <br /> —I_Z-A:b <br /> Food Safety Certification —v Facili Hot Water Temperature _Warewashing <br /> Name: Hand Sink: `•F iChlorine: Ppm Heat: :F <br /> Exp.Date: arewashing Sink: <br /> "F Quat.Amm.: PPm Other. 'F <br /> Received By!Title: <br /> EH Specialist: i - - Phone: �S 7 <br /> Time in: Time out: Page of <br /> C. <br /> EHD 16-24 (20 pg) WWI$ FOOD PROGRAM OIR CONTINUATION <br />