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o�Qul"' SAN JOAQUIN COUNT >< <br /> �+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.si4ov.orq/ehd <br /> �iFoaN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: City: LL Zip Code: <br /> Owner/Operator: AP_ Te one:`�t/ 6 �IS b f <br /> Program Element: 16,V Program Record: I ,C �� specti Type: <br /> SB180 Posted Yes No Permit Posted es No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> i ^` j Cwt'% GLc^lil <br /> ' 'dtiQ b <br /> r <br /> t M <br /> ull k <br /> I - r t✓ <br /> ►3 k 4 ti <br /> Item/Location Temperature Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> :W ..._.._. _ _-_..._ __ ...... .....PP _.. ... ..._..... <br /> Name: Hand Sink. of Chlorine: m Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: 'F <br /> Received By/Title. <br /> EH Specialist: rhone: �D <br /> me In: Time Out: Pag <br /> EHD 16-24 (2-pg) 11/210d FOOD PROGRAM OIR CONTINUATION <br />