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P w <br /> SAN JOAQUIN COUNTY <br /> y� ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> �lFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: - Date: :7 14-110 <br /> ddress: 1 Z ��� City: ,/In n, Zip Code: <br /> Owner[Operator: l '.,�k—C ��� Y Telephone: <br /> Program Element: GU ov Program Record: 3 Inspection Type <br /> SB180 Posted ❑Yes U No Permit Posted ❑Yes [] No Re-Inspection on or After: <br /> ulp 1A <br /> dl � CKy"t �' � C�l�� prof <br /> �[ .( c/1I)cPW ° Gtr %'yA".r,/ 'eve.4-v_ )t <br /> I _MN R , ry f•'C <br /> li`6f _ ip-A c f.l fYt� <br /> l lit !-t) t, G'� ✓:�� t w► `�°� � �� <br /> -�_ <br /> VA f <br /> J4,U W,44 4 C (IC <br /> XV r ?.moi L lit d . �+•vd�2c —re <br /> 111111 1111111MEMIMEMEM OEM <br /> I <br /> } <br /> i <br /> Name: Hand Sink: of Chlorine: ppm Heat: 'F <br /> Exp.Date: 111a washfng Sink: 'F 4uat.Amm.: ppm then: 'F <br /> [,e7ceived By!Till <br /> . <br /> cialist: Phone: <br /> me in: F Time Out: Pagel of <br /> EHD 16-24 (21"pg)•'l112109 FOOD PROGRAM OIR CONTINUATION <br /> i <br />