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4"'" SAN JOAQUIN COUN. . <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: :< <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> • �4.. a�P• Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.orq/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: VX Date: , (� <br /> Address: 2,Y 7 THOfkf7zYU Rd City: ,-HoeN 7n1L� Zip Code: <br /> Owner/Operator: J I M L Telephone 5/0 <br /> I/CC-D�y <br /> Program Element: 16 2 Program Record: r2 6 160 <br /> U o q Inspection Type: <br /> SB180 Posted Yes ❑ No Permit Posted ❑ es ❑ No Re-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS s <br /> I uL4(Io/uS W - (!,L b , <br /> fly T- PumaA Sp P <br /> Q 6v C�►�c NFD6 S7arDD stt(�F-T akPE:-CT <br /> M<-A-6 �- _ f L)( T i�t�c <br /> O LD IE5 ROOM 15 0 � - /3 f 2 Ta P,Po R l qr <br /> G 90nM /S N _—X�4- 4Q iV (30 loirykebIA9 <br /> - r F2.E To TfK- 3 5M_)K T / oG c� <br /> /-� T / l r/ti <br /> )9fv(T7 flu axob s i fft4Ck'C-t--S <br /> ouir7E TG <br /> Item/Location Temperature Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: �- of LQuat. <br /> ine: ppm Heat: of <br /> Exp.Date: arewashing Sink: r of Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: ( Time Out: �U // Page of <br /> EHD 16-24 (2W pg) 11009 �1 FOOD PROGRAM OIR CONTINUATION <br />