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p°"'" SAN JOAQUIN COUP <br /> ° ......,. C <br /> y ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.siQov.ora/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C` U - is Date: <br /> ddress: 2 City: Zip Code: <br /> G ; <br /> Owner/Operator: \Art Y11-0 _, fes, n Telephone: _ G� <br /> Program Element: Program Reeclolyd� Inspection Type: 1, <br /> 6180 Posted ❑Yes D-Rermit Posted E Yes.,B-t-" Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE'ACTIONS <br /> - rood. S W.Sjnq PE)1I C-1 \uw_ S <br /> C <br /> u sr f VY'tN -k+ VPeN x.S r 0 <br /> fliccOeS no t cm s - n tzar n, c 11 irons . <br /> u c;-- V-t e'q-mi Ufffi 1 a ec t <br /> Irocation Item f Location <br /> ra <br /> tureTemPerature Tem <br /> _ r _ <br /> Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink. of Chlorine: ��` M ppm Heat. F <br /> Exp.Date: arewashing Sink: C of Quat.Amm.: ppm Other: 'F <br /> Received By/Title: <br /> EH Specialist: Phone: V�� <br /> Time in: am /� : Time Out: Page'Zfa <br /> _I <br /> EHD 16-24 (2n1 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />