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I <br /> xo �oG SAN JOAQUIN COUNTY <br /> x y ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> ��•..,•.g,.�;:� Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www_siaov.orp/ehd <br /> irFose <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: V-5 S r J <br /> �a G. Date- <br /> Address: 3 G 3 G1 j + City: Zip Code: <br /> Owner/Operator: Telephone: 8-3 .2 _ ]92Program Element: Program Record: Inspection Type: ! L/_SI <br /> SB180 Posted ❑Yes ❑ No Permit Posted ❑Yes L7 No Re-Inspection on or After: <br /> r _ <br /> 0BS RVAT�IbNS AND CORt�ECTJNE ACTIONS- <br /> , 3 <br /> rn N r & <br /> ' I <br /> I <br /> i <br /> i <br /> i <br /> I <br /> ..._.__:%ltemlLocattort Terttperxture.. �.a _.Item)Location Tem{serturs r,. Item./Location. Temperature„` <br /> I <br /> Food Sa€ety Certification: 'r 4r :facility Hot Water�empe�ature Warewaslamg <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: P J arewashing Sink: `F uat.Amm.: ppm ther: aF <br /> Received By/Title: `J <br /> EH Specialist: G-2 _ Phone: y / /� <br /> ime in: l�- 0 �-4� Time Out: O v Page of <br /> EFi01624 12^d pA1 11009 I F000 PROGRAM OR CONTIN ATION <br />