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Name of Facility: 00 {di <br />Address: <br />RVSa- 411- Program Record: <br />Permit Posted °Yes No <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />L jj EV 11- <br />SAN JOAQUIN COM. <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Date: <br />Owner/Operator: <br />Program Element: <br />SB180 Posted <br />City: <br />PR 0S-2. -7-1W <br /> ilv14_149 Zip Code: <br />11XTelephon <br />Inspection Type: r <br />Re-Inspection on or After: <br />Tip ed 61, ce4-41//4 /4 Ai2tfilfiat *446 AO iWf e; rk, C•01*, <br />L=e03-104 cx.w 4 e cry) S <br />e 151-1 -;6_6>e)-712 /29- <br />5 0-1-i d4-a-- alb-Y(0* to v 601-, <br />4 <br />1,610 -e17 110 <br />kcia e)A 11/4)Pz.d <br />Pood glAzt)s 0,,--614410/4t . efe,t---/-ektity <br />V <br />S 1-4 rrsa V <br />p&L <br />-tri p u2i(t`A-v <br />Item/Location Item / Location Temperature Temperature <br />17-€27(2k0 <br />4.1-1 (--- <br />ize 0 <br />Warewashing <br />Name: <br />Food Safety Safety Certification Facility Hot Water Temperature <br />Hand Sink: °F Chlorine: PPm Heat: °F <br />Exp. Date: Quat. Amm.: PPm Other: <br />°F Warewashing Sink: <br />°F <br />Received By / Title: <br />EH Specialist: <br />Time in: <br />49LVv‘c <br />(96/710AA-i--FIA4,&J <br />q s- <br />169g Time Out: iv/9H <br />Phone: <br />Page of <br />FOOD PROGRAM OIR CONTINUATION EHD 16-24 (2^, pg) 4/3/13