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SAN JOAQUIN COUN .! <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 PA Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.siQoy.org/ehd <br /> �IFORN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: n A I 'S f0 7N Date: r-Cl _ / I <br /> Address: yuY I I <br /> h S 1 City: C Zip Code: Cf '?7 <br /> Owner/Operator: L Gr C/U rt r1 J <br /> Telephone: r <br /> Program Element: 16()2- Program Record: SQ G[I b 3QS°i Inspection Type:CGN,y' <br /> B180 Posted Yes 0 No Permit Posted 0 Yes 0 No Re-Inspection on or After: <br /> 7111P7 <br /> h � r S-, i nr/'recl n a : nac h'. �! <br /> y 1 r✓I a v aI k-; h oi d <br /> () I !,ul L5 . o mo ve ru bb t f, C a v; n <br /> l-01 f9=WW v,n <br /> S v✓; de q S: �- 4ke i.Ju' re t <br /> $ G i h 4 U ^a ; It he <br /> o T n O 00 <br /> -Co <br /> : I G Jtnia <br /> W r S to 4•. ah JbIP 4 ; 1 <br /> pfou, di bra e001ki D r <br /> Q M <br /> ke <br /> ! / d 1p, 1�er- A fa Alo <br /> Lb on 7 u 1l 1 <br /> n f C2 el Gn }er IS in <br /> Item/Location b r . 'perature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewas <br /> Name: Hand Sink: -F Chlorine: PPM Heat: `F <br /> Exp.Date: arewashing Sink: -F Ouat.Amm.: Ppm ther: -F <br /> Received By/Title: /;o• (4 <br /> EH Specialist: (•� Pone: <br /> Time in: 9 <br /> _I 11 J( Time Out: Page, o <br /> EHU 16-24 (2-pg) 1112/09 F000 PROGRAM OIR CONTINUATION <br />