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°F Name: Hand Sink: PPm eat: o F hlorine: <br />°F Quat. Amm.: Exp. Date: Warewashing Sink: PPm °F <br />EH Specialist: 6 <br />Paif of <br />Phone: ,r).....00,_4bta„..3 <br />Time Out: I <br />Received By / Title: <br />Other: <br />SAN JOAQUIN COUN . <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siqov.orq/ehd <br /> <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: M 0 CiU yv...criv Le_ Date: <br />Address: City: , Zip Code: <br />Owner/Operator: Telephone: 543— 4.54i <br />Program Element: Program Record: C 0 6 o 4 0 n!;1* Inspection Type: (cm-ock. In 1- <br />SB180 Posted 0 Yes D Permit Posted 0 Yes 0 1 Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />-07seh-e NieirOog evflq SC117Q c c lican-c{ <br />cThc cucum -1--rosA5 011scatclau <br />P\sconVIN-e_ ceA-V17q +Oct+ U1-)\\I ,C0 <br />r2-(Out CO <br />‘LeA-Clcle nO CT Q-1-e Conno+ c\D izaA-hrtQ 6W -1-1-ciS <br />EHD 16-24 (2^d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION