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otautly. SAN JOAQUIN COUNTS-/ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street oc ton 02-3028 <br /> ' Telephone:(209)468-3420 Fax.(209) -0138 We :www.sipov.orglehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Date: <br /> Name of Facility: 0,11 L <br /> City: Zip Code: <br /> Address: LdCClcj �� <br /> Telephone: <br /> OwnerlOperator: F r A0NP/JPZ <br /> Program Element:J 5— Program Record: d!LInspection Type: ! <br /> 3 Re-;m <br /> B180 Posted XYes ❑ No / Permit Posted Yes E No Re-Inspection on or After: <br /> 0BSERVATIONS AND G RRECTIV <br /> - _ E ACT10N�: <br /> 0 CC(1 C*'e <br /> Awon S - <br /> !�, �r�ce ze r d-�•e <br /> LOCO le Cli-q4 1A) <br /> item/Location TernperatWe Item%Loca#ion, Tem tore 1temILocation Temperature <br /> Food Safety-Certification Facility HsitWater Temperature Wareiiirashing <br /> Name: a! Q r /V,, -7tp Hand Sink: aF C lorine: O ppm Heat: of <br /> Exp.Date: �- Warewashing Sink: 'F Quat.Amni ppm Other: of <br /> Received By 1 Title: <br /> EH Specialist: 16 ,11Phone: 1 <br /> Time in: Time Out: l Page of <br /> EHD 1624 (2^'pg) 1112109 / FOOD PROGRAM OiR CONTINUATION <br />