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o�a�l�. SAN JOAQUIN COUN'_ <br /> ).•' ! '�A <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> cq�,f�ok��p Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.slAay.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: /llan � Ey ��' Date: /0 6'A <br /> Address: � 1� City: Zip Code: 5 � <br /> Owner/Operator: � ' ! Zw2 Telephone: <br /> Program Element: 9s Program Recor : [-f5-40 Z7S Inspection Type: rw'0411,f <br /> 8180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Off` a o ,.ti C 41 <br /> 0 p-- 1p !� <br /> Z <br /> dZ <br /> !ee"- <br /> A /OP F <br /> Iteff L item/Location_ - Temperature <br /> n„ es Se7'�C_ 37 r <br /> lee cAe <br /> fee (-'40 /= <br /> Food Safety Certification — - Facility Hot Water Temperatur7Fh <br /> Warewashing <br /> Name: and Sink: orine: ppmHeat: of <br /> Exp.Date: arewashing Sink: at.Amm.: ppm ther: °F <br /> Received By 1 Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: �� D Page 1rof LZ <br /> L Ofl <br /> EHD 18-24 (2^,:pg) 41Nl3 FOOD PROGRAM OIR CONTINUATION <br />