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nRAM1N• `-' SAN JOAQUIN COUNT-le <br /> ?K ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.siaov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ., 0 O Deter <br /> Address: ( ` �� S J City: I J�, Zip Code: q6 3 G <br /> Owner/Operator: C 1 r Telephone: v , 29SU <br /> J n3(2 <br /> Program Element: 1 1 q Pr ee <br /> rem Rord: k b I Z Inspection Type: <br /> i n J.cn <br /> SB180 Posted Yes No Permit Posted ❑Yes No Re-Inspection on or After: <br /> RECTIVE ACTiO. <br /> l V. C/ICI I i C r7 rre c/o C t, r:. <br /> or bI.A C V o--' 6lee dar ;SJ :r1 <br /> V It a Mach.e I ar <br /> a C r IQ 1 Y C V i r, ti', <br /> I P q K <br /> 3 p I; j11 r4 et l GIP 43 broWe )VAJ J Cove <br /> uI , n 1We X <br /> ror: tl`vrryiorabelj O r } he, J S he ; <br /> r✓i }P S v)u r40 11 re e <br /> l et K . _ <br /> It] SQ I crre I oe L <br /> - docr C Oboe r} r de li U brc P <br /> L h Wee X <br /> )-go a ne- : Il oC<fnr ;A 1/4- mcrl f <br /> W h; Cre4 &I w e r e rlrlG� <br /> 7Na.� <br /> G = <br /> y Certification_ .__. Hand Sink: -F hlorine: PPM eat: "F <br /> Exp.Date: Narewashing Sink: of uat.Amm.: PPM r <br /> ther: 'F <br /> Received By/Title: fliC- - <br /> H Specialist: - Phone: <br /> Time In: u Time Out: l - L/ 2 Page of <br /> EHD 1624 (2b pg) 11009 FOOD PROGRAM OIR CONTINUATION <br />