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SAN JOAQUIN COU <br /> off,....... c <br /> *ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •.. ; Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br /> q�iFand <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT 4!5v�S <br /> Name of Facility: rf attJ ran,+. Date: <br /> Address: Zlo lO l.l.) Mq r c.4n L.n City: 64 cam+ n Zip Code: 9 2_0 -7 <br /> Owner/Operator: Ani I a d c V Telephone: <br /> 33 <br /> Program Element: t 1 62` Pr p <br /> ram Record: P-0 1(0 b L4 s � Inspection Type: j <br /> 8180 Posted Yes ❑ Rermit Posted r Yes ❑ 1 Re-Inspection on or After: <br /> OBSERVATIONS ANDCORRECTIVEACTIONS <br /> t n coo(z r5 Yri.Z _Icl o© (;S <br /> r7-7 -1-a� + o d <br /> ok Ir w <br /> S <br /> }'N - -e o►n of Y-t <br /> v,4C✓ Y 0-F- C-a o Ce, r cx_-- C"00 1L5 U-V- e <br /> Ch rl � Lc -A� LA.)a re O k_i &n. ec bs a r Ise r1-� <br /> .r'. s Oa- <br /> Item/Location <br /> Temperature Item/Location i Temperature <br /> Food Safety Certification j Facility Hot Water Temperature Warewashing <br /> e <br /> _ I �— <br /> Name: Hand Sink: Chlor <br /> -. .. of ine: ppm Heat: F <br /> Exp. Date: ewashing Sink: of Quat.Amm.: 20 0 ppm Other: of <br /> Received By/Title: ' <br /> EH Specialist: �1_ Phone: 6 �p <br /> Time in: t i-2.00 Time Out: 1 O Page�of <br /> EHD 16-24 (2^'pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />