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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.s*gov.org/ehd <br /> LI PORN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �DO K a Date: 3 _ q _11 <br /> Address: / 3// �� � /g � , City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: / Program Record: Q� 6 // 7 Inspection Type: <br /> SB180 Posted XYes ❑ No Permit Posted Yes <br /> ll ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Iyin6of Co 'F rye. /°F a / �r J✓!f <br /> JU,un_JeLrr l oo r "_y%c1e_rKca,4-k !Rwymcr74 a a_d <br /> UD 44 <br /> - <br /> /�r -4-/Oil-) I vis d k5 10kf-S. <br /> s a A- e ede <br /> ww <br /> L13 ?44 <br /> /t�ILy77�71 ✓�✓/--l�-a� .Ga•-yf.�� $�t,P / G�i+d � lcss <br /> ovw, Rev. gir e to 3° 4 creme► e <br /> k —O)CA S s VJ �' c a24- <br /> Item/Location Temperature Item J Location „Temperature Item/Location Temperature <br /> I'dr- <br /> 1�dw, <br /> C6 °F Saws <br /> / dr-Kvt <br /> Imo` iVC / <br /> Food Safety Certification Facility Hot Water Tempera ure Warewashing <br /> Name: D r Hand Sink: /os of Chlorine: ppm Heat: of <br /> xp.Date— W eweshing Sink: Z Z of Ouat.Amm.: y0� ppm Other: of <br /> Lj <br /> w� <br /> Received By/Title: <br /> H Specialist: L Phone: <br /> ime in: / y Time Out: Page of Z <br /> EHD 4 (2nd pg) 11/2/09 ��'arp w FOOD PROGRAM OIR CONTINUATION <br />