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Q�awi" SAN JOAQUIN COUNT-,- <br /> ENVIRONMENTAL <br /> OUNTYENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.siaov.ora/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S 'f-t Date: 1' �� -)2 <br /> Address: I L//g City: Zip Code: <br /> Owner/Operator: `7 Telephone: <br /> Program Element: 1&1 -7 <br /> Program Record: YJR /G /rp Inspection Type: <br /> S8180 Posted XYes No Permit Posted KYes /- No J O Re-Inspection on or After: <br /> i <br /> Dor &cmllei o-,t IseS i n.,i ktolk,5n a Lcu <br /> r� <br /> Flaor ut4del- aV(A .✓gent ve-s- <br /> a/Kd rr e l <br /> 0vvW' - okra <br /> hobim , M7-0rttko&s IT <br /> ♦ c7o tM ak ti71 - o/ca�J <br /> I r. - r _ op . S A n oe <br /> sm• r- <br /> rcu - <br /> r r Fr ✓ 10- - <br /> r c{ r. <br /> Name: Hand Sink: 6 of hlorine: ppm eat: of <br /> Exp.Date: 6-_ arewashing Sink: of Ouat.Amin.: ppm Other: of <br /> Received By/Title: <br /> H Specialist: Phone: <br /> me In: Time Out: 4 !r 2 P Page f <br /> EHD 16-24 (2°pg) 1/18112 FOOD PROGRAM OIR CONTIN TION <br />