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>a" aFa SAN JOAQUIN COUN1`r <br /> q % 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 /> �1FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: CA Date: <br /> Address: kC 1 1 .\ city: —�ca CN4 zip code: 9 S 3 <br /> Owner/Operator: �r S� Telephone: 2 _ <br /> Program Element: � Program Re rd: 5 Z Inspection Type: J � <br /> 8780 Posted - Yes No Permit Posted I Yes r, No Re-Inspection on or After: <br /> ONS AN <br /> n w: In cl . <br /> C ( Z -27 <br /> �u <br /> Ire e \o. (¢ o` l <br /> C. <br /> me . <br /> ame: Hand Sink: -F hlorine: ppm eat: 'F <br /> Exp.Date: Warewashing Sink: F uat.Amm.: ppm ther: 'F <br /> Received By/Title <br /> EH Specialist: -tel Phone: �-A lx_7 <br /> Time in: \Z� 2 C� Time Out: \ \3— J� Pagel of <br /> EHD 1624 (2b pg) 112109 J FOOD PROGRAM OIR CONTINUATION <br />