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0 PqurN X. SAN JOAQUIN COUt ' <br /> ' ....... <br /> � •.OG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q..,• �;;P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.smgov.org/ehd <br /> �/FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: jU �Q� -yt 1cA I1Q j Date: I r,i �4 <br /> Address: 4A ,6 <br /> s �vn4jr City: 9-�ziGr-tan Zip Code: rg2o� <br /> Owner/Operator: '�7UnW_ho C_1 r,l_� Telephone: 2 —4S_--2)S- <br /> Program Element: f)vVk02��/� Program Record: �Q b G jrq Inspection Type: W-Ih`a <br /> SB180 Posted i Yes No Permit Posted es n No U 1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> qy -(.ca s-w d it i tufo osWq 6L OewOiL <br /> 2 Uh U -Rr Cind &Aa(Ar, 'tltM W1 <br /> C nSi lQ ck _walctbLe -ADO <br /> g AiandlX- CciOS rC)A- Ya%Za U . MQ M in ( ipK6. 01A 9tC <br /> GSI" qII +M' . 'Orr M C.�1-e <br /> fru <br /> Item/Location Temperature Item LLocation Temperature <br /> 1 T= <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: o Chlorine: Heat <br /> t U U F (���1 I . ppm °F <br /> Exp.Date: ?) arewashing Sink: 120 of Ouat. Amm.: ppm Other: of <br /> Received By/Title: <br /> x OCEH Specialist: Phone: it GG,3 <br /> Time in: Iu , �i v Time Out: r, Page�f2 <br /> EHD 16-24 (2n1 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />