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SAN JOAQUIN COUPY <br /> z ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> a: <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> �/FORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Y r C Date: _ <br /> Address: 52>08 Q 2 _-_t ,O City: t On Zip Code: n 5�40 <br /> Owner/Operator: 2u L Telephone: t4r-7q_8 �,� <br /> Program Element: I Program Record: f)A o1(o2,5 9 3 Inspection Type: �f L <br /> SB180 Posted Yes n No Permit Posted Yes r❑No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> r <br /> V r k.i nd <br /> 5 ,7 e-P_ 4z ci'4 <br /> AC .Cx_ ,c .- <br /> sie c, <br /> Dn <br /> hia 10 v <br /> at d <br /> rfi r 4-e ms <br /> d .- c t�') <br /> r <br /> ►- r a <br /> S V--P c uc rd b e boH <br /> ift-S& a,bl.5o r r° s <br /> lei rte, rQ h ri'd d I-e- ho-S d,1W s-4 . i(eE4° Le <br /> l ' Alm ne ha 4k P ro r0&If <br /> Item/Location Temperature Item/Location Temperature Item/Location Temperature <br /> T2s -7 a ,-W - L 5 s °Ir <br /> F 1 L15 rT✓u� 3'� F <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: y-�;1i1 �� -2 Hand Sink: // L °F Cp}orine.<.r ppm Heat: of <br /> Exp.Da e: arewashing Sink: �� aF Quat.Amm.: ppm Other: OF <br /> Received By/Title: <br /> EH Specialist: ''yyl` Phone: <br /> A✓ J z <br /> Time in: �,� Time Out: PageZof <br /> EHD 16.24 (2^'pg) 1/18/12 FOOD PROGRAM OIR CONTINUATION <br />