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1� SAN JOAQUIN COUNTY'` <br /> 'ate'�Oc <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> 4 ... . :r Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.siaov.org/ehd <br /> C/FOdN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ,� rn r } Date: <br /> ddress: rl �-y �. ' (/�_ City: I Y 4( Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> uV I•rC <br /> SB180 Posted Yes - No Permit Posted ❑Yes LINO Re-Inspection on or After: <br /> RECTIVE ACTIO <br /> F U 1 u 6 j< C4 'r { uwle IS. <br /> ; / <br /> p ,� O r C/0s;,-1 C1 ! <br /> 1 S . <br /> 3 S oi n ; Ii ler r(Annin G 10 Gr,, cloPO' <br /> 4) Gae a Tr u <br /> r1f il I a c n 2 Wee ies- <br /> CArdr 4 1 '/ rn " r S 0 <br /> G oozy Orc dac$S on 4ke if 41,e / ✓a 4e ul1 <br /> rcdac4V5 inch0S. 11 r r e C j is A 5K <br /> M1 7 <br /> tA I r o <br /> Ir, b l e CG 01in e rs <br /> Cot re c 1 4O <br /> a et oV" dr- 4 or, CA kondlor r CIP cerp&* ee3- <br /> Correc t r, 2 Weex <br /> 0 9 ori.e <br /> TPur (2 -alcor ) True -Gdcc� cliff ice cpv <br /> TAA 12-400r) U/'F <br /> ame: I SG Chin Hand Sink: Gl'F hlorine: PPM Heat: 'F <br /> xP.Date: /,j o Warewasyng Sink: '.Z "F uat.Amm: PPM Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: to ) 7 Time Out: 1 I j O Pag5 of Z <br /> EHD 16-24 (2°pg) 1/18/12 FOOD PROGRAM OIR CONTINUATION <br />