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'o�4uIN c sf. SAN .10AQUIN COUNTY <br /> 3.•'.r '•.OG - <br /> ;' ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> . . .• `P.. Telephone:{209) 468-3420 Fax:(209) 464-0138 Web:www.siciav-org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: � ���U� � -j- �� Date: <br /> - � 7- 577 <br /> Address: �'fZ� �6.� 4 City: Zip Code: <br /> Owner/Operator: v22Y1 kt 1-�- Telephone: <br /> { Program Element: i -(J [� ProgramRecord; �Q 3 ��f% Inspection Type: <br /> I L <br /> B180 Posted ❑Yes 11 No Permit Posted 11 Yes ❑No Re-Inspection on or After: <br /> ' OBSERVATIONSAND CORRECTIVE ACTIONS <br /> l <br /> 09 <br /> kd"klk 'Pvdry_ <br /> 0 vkv f- 'jWk ak -ems- . <br /> q&jo <br /> 0(4X jdlUjj-&�, 'Vt_k <br /> t ,r' - l <br /> Item/Location Temperature Item I Location Tempe ture Item/Location Temperature <br /> i <br /> - "+Aathe fx'r <br /> Food Safety Certification Facility Ho#Water."'mperature VHarewashing <br /> Name: Hand Sink: °F Chlorine: 5ra ppm Heat: 'F <br /> Exp.Date: Warewashing Sink: of Quat.Amm.-. n;, ppm Other: of <br /> E <br /> By!Title:ialist: Phone: <br /> C1 1 L7. Time Out: Page of <br /> EHO 16-24 (2nd pg) 1/18112 FOOD PROGRAM OIR OONTINUATION <br /> i <br />