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SAN JOAQUIN COUNN <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> .., a Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> ,�1FOR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: � <br /> .L Date: _ 26 - / <br /> (� <br /> ddress: WI U ( I h S }, City: Tr d G Zip Code: 9 S 3 <br /> wner/Operator: S ( <br /> Q\@1jG Telephone: 8 3 0 - 2 9 5 0 <br /> Program Element: I 19 ogram Record: S I $I Inspection Type: <br /> Pr -. -5 <br /> 8780 Posted Yes No Permit Posted Yes - No Re-Inspection on or After: <br /> 70drSAND CORRECTIVE ACTIO <br /> l. Corr 49 e 4 GIEa as e c%n a I; 4d Of: <br /> a <br /> Or;" I 2 We e KI <br /> W0 !: <br /> u S'. n 0C",M WA )Pr PCat s d r. <br /> rr a ; n r I in 2 <br /> S I -in is of u <br /> 1 in K <br /> 6 �Pr � a 5 1 /Yla : n Ak s > r <br /> u: n W a ><Pr I' S I <br /> So n; rr j OkI3 GDp anom qual <br /> I G bulze o o/rerl <br /> /54GK <br /> a orP Or, a c h ; rr ro /P au: fo c <br /> P has i c I 6" J <br /> _. perature I <br /> r IU I N 'ea 5-' yy! y_Ce4pp. et-.r <br /> r rr a 4f' IN61C Name: Hand Sink: eF �hl.otrine: 'F <br /> Exp. Date: arewashing Sink: of . Amm.: PpTn Cher: =F <br /> Received By/Title: HCl <br /> EH Specialist: Phone: �/ <br /> Time in: D Time Out: / Page 1/'1109 ofL^� <br /> EHD16.24 (2-pg) 1FOOD PROGRAM OIR CONTINUATION <br />