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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468 3420 Fax: (209) 464-Oi38 Web:www.sic#ov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Le cL; <br /> YY r,)-- Date: z <br /> Address: L City: Zip Code: <br /> Owner/Operator: f _ f e Telephone: <br /> Program Element:W Program Record: Inspection Type:. <br /> ISM 80 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND G RRECTIVE ACTIONS <br /> tjA ul �` S <br /> - � <br /> �U <br /> C <br /> � l <br /> . a � <br /> ENWOM <br /> Food Safety Certification <br /> Name: Hand Sink: 'F Chlorine: ppm eat: 'F <br /> Exp. Date: arewashing Sink: 'F diaat.Amm.: ppm her: °F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: (\ Time Out: 10. Lf Page16 <br /> of <br /> EHD 16-24 (Yt pg} 4013 U FOOD PROGRAM OIR CONTINUATION <br />