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oi�pw!y.. SAN JOAQUIN COI 'Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.slQov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: 41-3—1-5 <br /> Address: <br /> y-3— <br /> Address: 1 LA-,(b rru A. City: f) Zip Code: ,5 203 <br /> Owner/Operator: r\ 6nQn'7-Ot 1,e,5 Telephone: (6-7 0 —19? <br /> 3 <br /> Program Element: ��03 I Program Record: 5 R80� Inspection Type: hSC�t-1-A�f"lon <br /> SB180 Posted Yes No Permit Posted Yes No d O Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> H -- <br /> f� P1.. 35 33a-� a33 <br /> CD t I r"e_ -�' n ��her Z'n� .,c ,-�v-1-t-, �+ rf�v-� dz n e ►.,r o > _ b� <br /> LI-4-15 <br /> V-t v ai r <br /> Y- 0 2-C41D rn- 5 I c�� 6 -Coo is d 04 0.6 LCI -e <br /> 6�f Or LA r . <br /> r✓6 rm. me-4e r • kO 4--L{-16 <br /> p • IZ +D G'45-t-c r ry ce -e (s cl-� C1 . <br /> r rare 'F-Oe- 2o2) a <br /> Y1caf ►teeI,, MG b 4-1 -15 <br /> Item/Location Ll Temperature Item!Location Temperature <br /> S-I-�a m Ta,►�I e ► 0� <br /> L _ <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: l.1.�4� /Oh�IIeZ Hand Sink: 149 'F Chlorine: too ppm Heat: of <br /> Exp.Date: 4-1 tt3—) are ashing Sink: 1201 ',F Ouat. Amm.: ppm Other: of <br /> Received By/Title: 1 <br /> EH Specialist: QA� Phone: C163- <br /> 02 <br /> I ✓) <br /> Time in: / 2�� V�^^ Time Out: �� D Page, lof <br /> EHD 16-24 (2"d pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />