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r <br /> SAN JOAQUIN COUNTY <br /> I <br /> 'a� .goG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.s gov.orglehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility' Date: _ 2S <br /> 9 G1�I"/GI' A a Zip Code: <br /> Address: fad City' 7 17�0/1 <br /> OwnerlOperator: Ser MPN�� Telephone: 17 Z 41 06 e <br /> Program Element:• G s Program Record: ����7� �� Inspection Type: �e` -n5 <br /> S8180 Posted ❑Yes No �v! Berr�it Post d Ye ❑ I,f C e J Re-Inspection on or After: 1 <br /> OBSERVATIONS AND-CORRECTIVE ACTIONS <br /> I <br /> I � <br /> L-o -Q WAS 1I A- V10+ ro <br /> Co rte C 5 • <br /> if H <br /> 1 Q'� c n� + • our t i� -W vs`� 5l3!�D i01. <br /> t . i 1nc4v-rl w c syr see o �� �� <br /> ri - r <br /> Nv o oT G1 atss �v,- ,e f15 i <br /> 60 Mfi,r S W6L' <br /> A"4p-[ artd °h_ S 6 vt.i Z2 <br /> I <br /> [temlLocation: Ternperatuie Item'.I Location- = Temperature Item 1 Lpcation Temperature. <br /> I <br /> Nle a <br /> I <br /> _ -- -- Fo—dSatC_e-rt-if-ic_a-ti-o-n - _—� cFacilitY HotWat <br /> Warewa_shm <br /> g <br /> Name: <br /> Hand Sink: of 11C,hl_o�yi�ie ppm 11 Heat: of <br /> Exp.Date: arewashing Sink: of 4.•uaat.Amm.: ppm 110 ther: of <br /> Received By I Title: <br /> EH Specialist: f Phone: 2-e cf6 d p <br /> _f� S' <br /> 7- <br /> Time in: OV Time Out: Page of / <br /> 1 EHQ 16-24(2nd pg) 11!2/09 FOOD PROGRAM OR CONTINUATION <br /> k — <br />