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oP4H!N• 4 1�1 SAN JOAQUIN COUNTY <br /> %a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> C/FOk� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: -.OU Date: ,S_lU' <br /> a <br /> Address: 1 G I lj ,� City: Zip Code: <br /> Owner/Operator: Telephone: c. v-'2 e) <br /> Program Element: Program Record: Inspection Type: RoLA 4 ; <br /> n <br /> SB18O Posted 0 Yes 0 No Permit Posted 0 Yes .7 No Re-Inspection on or After: <br /> a r jlC lee, n a c� 1 <br /> + Ucl + <br /> 9 re c 1 ja <br /> F I' ;r C. Id Or ' ih <br /> y1 � b r Wal Repair +u a <br /> K <br /> &Ad Yin <br /> -S Lj 0'rm WAlvr PolNI <br /> n u h 1 wee zi <br /> G Wa II n <br /> i4 damaIpodaf,olrl' n <br /> P 4 j 6 r. ; n weo 1 <br /> A G sleri ;) <br /> S an S•,n Clea St I: C /Ay. @ QeMovs lo <br /> ►'VI dasKe,5 . Alwlcv S <br /> W4 r'A 5j, _ SGne arld q;III drq Correrhe all <br /> 0 5an:44e IS al dm /uc, 4; n a+ or cl <br /> 'cin p <br /> rrt -store Item/L <br /> tv'4ir CI'(�dar) yl F tnlrL .s /37--2alP - cu y<1 Yrr- <br /> W(4 !V . del; U l P Walk SwsA; <br /> Name: 2 !� n Hand Sink: du T of hlorine: ppm eat: -F <br /> Exp.Date: G ! arewashing Sink: I.1 aF ust.Amm.:2,•u U ppm her: of <br /> Received By/Title: .0 <br /> EH Specialist: Phone: <br /> Time in: Time Out: Pagef <br /> EHD 16-24 (2"pg) 77/2109 FOOD PROGRAM OR CONTINUATION <br />