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N SAN JOAQUIN COUNTY <br /> �O�•.CGG <br /> p ENVIRONMENTAL HEALTH DEPARTMENT <br /> H: R <br /> _- 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: } l: , <br /> ;Z Date: <br /> Address: LA Cho l,—If City: IS-f-0C h Zip Code: 045.2-0(0 <br /> r o <br /> Owner/Operator: r Telephone: <br /> 4-t r1a `-f�3-200 f 'ld ' <br /> Program Element: gCOO Program Record: 3 � Inspection Type: rn -+- <br /> S13181)Posted Yes C No Permit Poste Yes G No Re-Inspection on or After:t fi <br /> rr OBSERVATIONS AND CORRECTIVE ACTIONS <br /> *1SOL i 17 7 n 4 '+'t-Ct r-)i-e,7 5 1'f o o»'t S r L o� <br /> �R v oc4 r +o C.:;,L 4cJ'7 W c L`{-e it , '- yr <br /> f . <br /> r <br /> r L r r' <br /> (rUf CA-4 <br /> r - 5 -itJ <br /> Item/Location Temperature Item>I Location i Temperature Item I Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> ]Name: Hand Sink: OF Chlorine: ppm Heat: OF <br /> Exp.Date: Warewashing Sink: OF Quat.Amm.: ppm Other: OF <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: C046 0 Time Out: vv�y,DO Page fl of <br /> END 16-24 (21d N) 1117109 FOOD PROGRAM OR CONTINUATION <br />