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� `Y1 <br /> SAN JOAQUIN COUNTY _ <br /> 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:S _�1 '� . Date: <br /> Address: tb1b City: Zip Code: Z� <br /> Owner/Operator S Telephoner <br /> Program Element: "O\ Program Record: p 9_ 1 b^� b� Inspection Type: <br /> S13180 Posted ❑Yes ❑ No Permit Posted n Yes` ❑No G. Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> �— : cA— 2-c <br /> i <br /> \ 5 <br /> 2 <br /> 3 5 \ 2 <br /> \2c\' L ro\ <br /> �.� \ r <br /> Item/Location Item/Location' Temperature Item 1 Location Temperature <br /> 7C0 'Q `�5� F -Fr `13 a� c r`12.P <br /> �.tj,i C'kQA�'3 <br /> _ - r _._ - - <br /> Food Safety Certification ° Facility Hot Water Temperature_ Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: rn <br /> EH Specialist: Ph ne: 1.4 <br /> c� <br /> Time in: ' ' STime Out: 2� Paget of <br /> EHD 16-24(21'pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />