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SAN JOAQUIN COUNTY' <br /> aa��Oo <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> 4 a Telephone:(209) 468-3420 Fax:(209)464-0138 web:wwvv.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: - j Date: 12-6 <br /> _ <br /> itdress: I �� V City: ^Yu, r Zip Code: S <br /> Owner/Ope - <br /> rator: ,I Telephone: ?3 �/ 2 <br /> r <br /> Program Element: ' Program Record: S !J o L3050 Inspection Type: �. r <br /> s. IC u <br /> 8180 Posted ❑Yes ❑ No Permit Posted - Yes No Hi-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> sec. GII 5 }she r-, <br /> 1 eeK <br /> } „ I P r 61 1- C C' Mig nK r N � r• <br /> } 3 - I r FC" Or v f <br /> r 0 � 0 d414 <br /> r u; dk J bA41< 10 re ✓er. } v de v : e e. o <br /> YV1 6arrecl f 0 r as <br /> 4 a 11 r 4 W K'. c P\ l c J <br /> r 2 W2JK <br /> K, l 0 nCc Is h t4 Ilt bee n IF, a; <br /> � 4r 4a F WdiprM: i <br /> 3- <br /> tis : , ti z -I WNkrh Fe <br /> C r n Zia7krewastw ilt <br /> Name: 11 Hand Sink: "F Chlorine: PPM Heat: 'F <br /> Exp.Date: 1 s arewasg Sink: Lullei <br /> "F Ouat.Amm.: PPm Other: 'F <br /> . t <br /> Received By/Title: <br /> Lu <br /> EH Specialist: - Phon <br /> me In: 10 '. u 0 Time Out: I I Page of <br /> END 16-24 (2^pg) 11/1/09 I FOOD PROGRAM OIR CONTINUATION <br />