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i <br /> aa�lN•. `'' SAN JOAQUIN COUNTr� <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �•�4CIr13tA�`y'r• Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd I <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: 10--7 -1( <br /> Address: 3'�Co City: ';�y-� Zlp Code: ri 5377 <br /> Owner/Operator: Telephone: <br /> h � .ida✓ vo <br /> Program Element: I� � Program Record: Inspection Type: Ccw. )Wn 4- <br /> B180 Posted C Yes ❑ No Permit Posted n Yes ❑ No Re-Inspection on or After: <br /> .G Ccs 14 54'u'f PS F'l't I SOV Gcv. o o -1 -fl C urc/ns <br /> cnn c hc.d Gta.+ti6c. e r . LL AJ t <br /> S 1'{ J •S t•-r —' } 4 C l t W cr S ,,Jctr 0 4 1 Cc>h. I4rn 7 AJ J <br /> r v,- c,+4-i,@&- wIz�� re arta( rt nr 4-ra c�7 0�•- • JO`w. <br /> C cooked r' ri 4-c)f-0( e <br /> •{" .¢r <br /> /. ' d CD'- <br /> 4--c, <br /> h4-a I`bs"F - I <br /> Item/Location Temperature Item/Location - _ Tempereture�� Item/Location-7,,.,,, <br /> Food Safety Certification Facility Hot Water Temperature Warewashing '• �� <br /> Name: Hand Sink: aF Chlorine: PPM Heat: 'F <br /> Exp.Date: arewashing Sink: F Ouat.Amm.: PPM then. 'F <br /> Received By/Title: <br /> EH Specialist: 1 / Phone: <br /> '46 8 - 3 /(� <br /> Time in: 1V W� Time Out: Page lot <br /> 1lC�c7 <br /> EHD 1624 (2n°pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />