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,�° •�aG SAN JOAQUIN COUI ' <br /> �+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s4gov.org/ehd <br /> Z1FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: :A Cy Date: 2-,?- 1 o <br /> Address: � A—�_', City: sto_ to Zip Code: <br /> Owner/Operator: i Yl�r �' r `C-�/'1 Telephone: —15-7 2 <br /> Program Element: II _P2 Program Record: a D 1(.10014-7 <br /> 001 a Inspection Type: �+ <br /> 6180 Posted � F Yes h Rermit Posted F1.Yes r I L Re-Inspection on or After: <br /> OBSERVATIONS AND CORCTIVE ACTIONS <br /> I j <br /> A 4-L..P-r Lin r cle r Au <br /> a <br /> Y r . E ryti.e n t <br /> —tr'' c.t O r W <br /> r �c <br /> c� <br /> r 'Cu- <br /> 1 rCA <br /> _ e <br /> r <br /> Item( t t F is Temperature <br /> I or <br /> ._ <br /> 0Qcd_I-e..5.._L----- -------..._ _ � ...........................------.......................... _ _.. --.................__........................................ <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: _ 'F Chlorine: ppm (Heat: 'F <br /> Exp.Date: yVarewashing Sink: of Quat.Amm.: ppm ,Other: 'F <br /> Received By/Title: <br /> EH Specialist- Phone: <br /> Time in: 1 I `-N Time Out: W"C' Page(Of <br /> EHD 16-24 (211 pg) 4;3/13 �l FOOD PROGRAM OR CONTINUATION <br />