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ot4g`" SAN JOAQUIN COUNTY <br /> a` ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ..• ;P. Telephone:{209) 4E8-3420 Fax:{209) 464-0138 Web:www.sigov.orglehd <br /> v�iFd.Ra <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility.L(� C. �—��/ ire /\,A Date: - 2 u_ 2-b <br /> Address:q o Q Q n}r , City:T rC^ Zip Code: g 5 <br /> OwnerlOperator: Telephone: <br /> Program Element:r t62 I <br /> i b CIS <br /> Program Record: 5 O5 Z.`61 5 1 5 0 4 O Inspection Type: ` <br /> S8180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> 3SERVATIONS AND CORRECTIVE ACTIONS <br /> 3 42( -) nLA <br /> t�e - 5 <br /> u S - <br /> Ire 0%3 <br /> C) <br /> q - ` 1 <br /> - a s - <br /> A_ A-C) l �o '5 Sp/'v ­\A <br /> em ["tore Item 1 LocationiTemperature <br /> 3 ^' ti N += <br /> �1 -;S p <br /> ri lw3p <br /> t Water Temperature Warewashing <br /> Name: Fiend Sink: `F Chlorine: ppm Heat: `F <br /> Exp. Date: arewashing Sink: eF Quet.Am ppm Other: 9F <br /> Received By I Title: <br /> t <br /> EH Specialist: t Phone: 2 oc- - b k b 3 <br /> Time Out: Ck '.\-CS Pagei of ri <br /> EHD 16-24 (2m pg) 413113 J FOOD PROGRAM OIR CONTINUATION <br />