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aRau1"' L. SAN JOAQUIN COUNTY <br /> u�a•s°c <br /> r. ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q: <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> ;�/FsaY;p Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Q /S Date: CA—t b— t <br /> Address: 2 \I& \ City: L�10 ZIP Code: q Z;.2 <br /> Z"2 <br /> Owner/Operator: '. Telephone: Q S <br /> Program Element: \b\5 ProgramRecord: b0'32 S InspectionType:1 <br /> SB18O Posted - Yes - No Permit Posted Yes No Re4rispection on or Atter: <br /> ATIONS AND CORRECTIVE ACTIONS <br /> V' <br /> 5 5 <br /> Temperature: <br /> Name: Hand Sink: OF Chlorine: PPM eat: of <br /> Exp. Date: Warewashing Sink: i O -F Ouat.Amm.: PPM Other: of <br /> Received By/Title: <br /> EH Specialist: 1_ Phone: 1-1)0,6—C)•Z , <br /> Time In: 1 O0-4� Y` Time Out: W Page I of <br /> EHD 1624 (2w pg( 1/18/12 FOOD PROGRAM OIR CONTINUATION <br />