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ltej Loc ton Temperature <br />.mwego avranaira <br />Received By / Titley„ <br />EH Specialist: <br />Time in: 61\1 <br />Phone: is, <br />Time Out: <br />Item / Location Tempe ture <br />ail/ <br />dIc <br />1 . <br />ovvl <br />kokyo41 Q Aeilüv <br />ItriLA- Ivy 0-t krayA 1.6-Anles Itti-fo• 0 jc_r <br />0 '51t62: Fern4A cee-Se -CUL is ptid <br />Food Safe y Certifi n <br />_cee. tat <br />t" <br /> <br />13/02 <br />Facility Hot Water Temperature <br />-3 0F <br />OF <br />1+-7' <br />Name: Hand Sink: <br />Warewashing Sink: °F <br />Warew4shin9 <br />Exp. Dale: Quat. Amm.: <br />Page of <br />SAN JOAQUIN COU, <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siclov.orcilehd <br /> <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: -s <br />D rdr- -f—as 1 ; &I e _xi C. ' e.--,, \Aft Date: ( A 46 <br />Address: ...g i <br />City: I (—SCril _ Zip Code: <br />---- Owner/Operator: <br />51 it r\A <br />— Telephone: —1 1 g ? <br />Program Element: <br />.,_ <br />Program Record: Fp() 3"-__' 194 Inspection Type: <br />Ltif-MO SB180 Posted es No Permit Posted No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />tic 4FVftb <br />V ; " 0 <br />FOOD PROGRAM OIR CONTINUATION EHD 16-24 (2'p g) 4/3/13