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o°°"!"'� SAN JOAQUIN COUR <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.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 13w q, Date: a -3--/0 <br /> Address: Xsqqc> e 'w Trc R'� City: MOUNT IL) ` O45F Zip Code: e 5 2 74 <br /> Owner/Operator: 1 f R•2 DKc P, StN&o Telephone: 7 d <br /> Program Element: 1(a0( Program Record: I bo S8 78P <br /> Inspection Type:jq� ew <br /> SB180 Posted,l'@s-9-No-- Permit Posted'T'fes-B-M Re-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> G�0rbcr7FN$�47ioN 1.f 9 s t'4tict,D 6.c�SE <� �N �r+�ryiE chi ��9-�K'�ti i�'X , <br /> S ND Loom srNK DeSIVSF2S �9RE CM <br /> I/-A, t fight <br /> Ir <br /> y Aq-rgRoah *O-s Ivo �sH ��►Nps s�6,v osr P�2ou�d o ���ti <br /> N'rn i c <br /> O K r c r s 5 lic- E Rwt t t- o er I c�, t s'FgTr n�� <br /> � 2 <br /> i�t4'�NZ /�T�2 h'/�j STrCKFR S1�wtN� w rReD � ID KW- UK -- <br /> - . ............., --.—._.__ _. ........ <br /> _Item/location Temperature Item!t_ocation Temperature Item i location Temperature <br /> lv X 2,8 <br /> Food Safety Certification Facility Hot Water Temperature I Warewashing <br /> Name: �R°V(PE �v Hand Sink: ! of Chlorine: Ppm Heat: of <br /> Exp.Date: r awashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: hone: r J <br /> Time in: (2'. Time Out: �0 _1 Page!of <br /> EHD 16-24 (2nd pg) 11/2109 FOOD PROGRAM OR CONTINUATION <br />