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r <br /> SAN JOAQUIN C'OUN`1-9" <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> ��t�FaRac Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: To. <br /> 1 1T� cA r 64 Date: )- 31-/ 2 P <br /> Address: Elo <br /> G r a I W 5 �,•} City: 5 I[ Yl Zip Code. rf S�UY <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> 6180 Posted Yes - No Permit Posted �:Yes 1 No Re-Inspection on or After: <br /> - <br /> OgK'SMVA71 -SAND COMWM.14,,AC <br /> GI G Kj SQ C Pro .de r eG • Gr 4I <br /> - coma a� G S-. K r. P ; r 1O r� j in V I F; <br /> n <br /> We e K-5. <br /> n ; 11!j Gheeyl c+ 15 3 �orpd above 540rer <br /> Is r re -4- 4c � <br /> 1 V ten b 0 '! J� <br /> 6A d r . n - r., y- <br /> 6 0 <br /> r rent I 1 1C <br /> LJ o m e 5 Y'#5 Cm 10 c ICS• fl; ryl p& ger a n <br /> Ve n75 Ce 5 4 rac,^n a C, K.5 folle <br /> n S r a r\ <br /> rei rNlWee <br /> rvv . de jra 0 d r-dS CC, a / <br /> G n nCAn t-Ppe, t c7rn a� <br /> TA. r1a T..... atial Ten} aturt': <br /> r <br /> rL4 - o .- - 34ect #0 4ca b le <br /> W*ewra- <br /> Name: R�Ab 1 n I(v Hand Sink: / of hlorine: ppm Heat: of <br /> Exp.Date: 16 arewashing Sink: of Ouat.Amm.: ppm Other: 'F <br /> Received By 1 Title: y <br /> C�[•C-Crt vy <br /> EH Specialist: Phone: <br /> Time in: .-)-+� Time Out: 7 F9 GAJ Pagef <br /> EHO 16-24 (2ntl pg) 1112109 d FOOD PROGRAM O1R CONTINUATION <br />