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SAN JOAQUIN COUNT . <br /> Q` �+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> 4CjFOR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: 1(311 City: Zip Code: <br /> Owner/Operator: <11 r� �r Telephone: <br /> Program Element: Program Record: /f `� / Inspection Type: <br /> SB180 Posted AYes ❑ No Permit Posted XYes ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE_ACTIONS w <br /> S rte f_C-1-e-,4 CJK_ <br /> a�sf vt tea, l v-vide <br /> CLIA d a k- _ scrd o s��•e� o loo <br /> a x a r �4 F r z (�e&m mitd � f <br /> Aa-a /na o u ode- -r-e <br /> &HW_ a lon <br /> Ql ka Ir <br /> _ s ars sl�c,lv�5 <br /> - vo (4) m a hAAIZGJ.c00 <br /> Item/Location Temperature Item!Location Temperature Item l Location Temperature <br /> Food Safety Certifi Mort p "" Facility Hot Water Temperature Warevrashing <br /> Name: U Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: :'�Z5 Time Out: Page of <br /> EHD 16-24 (2,d pg) 11/2/09 FOOD PROGRAM OR CONTINUATION <br />