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peau" o SAN JOAQUIN COL ,'Y <br /> X <br /> ' ENVIRONMENTAL HEALTH DEPARTMENT <br /> y: a .( <br /> _ - 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ^-F Date:(a� r n t.( - <br /> Address: 91 <br /> D -e— City: 6 <br /> TI OCK,ft3,1 Zip Code: <br /> Owner/Operator: ` k a- V Telephone: q5;2, 06 <br /> Program Element: rogram ecord: n 05 % 5S_ Inspection Type:'--R OU47 fw C_, <br /> SB180 Posted Ye No Permit Posted Yes No Re-Inspection on or After: ojeeA( <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> ;5o f-+ SeY ve- t.�._ 4A�- <br /> •.F_! -k.r . l td h-e ri yj <br /> Y, t5 L was mn4 1) <br /> OLC-Cessi6le, ki,N4C, fo r HCA n A W4 s YLZ <br /> re 4e r-4 �1 N►'=U J L¢q K.i vt z t.i r7�n , <br /> 'St V4 r -faod n Le_ r r <br /> ro 30 <br /> o► wl- a 'n er►-� lc ,rin _rGo►-n_ _ ix, i+h r e. <br /> C42� 6��.%nd�,r- (�1 r 5 r 4z c �� -C a n sq n-c�-,zrL �l�c,rs <br /> �%� yYl-vY� '�"Yci p 5_ (� � C.o mm C n c� �' �e����- �•b O►� C�-o�s.� <br /> 5 r_ t.ct,, cl r )p-—- o d • 1)_.e-lei �-- Lta <br /> ama "sa r1A 41 Me— a ­�e r U <br /> 60oI Ce-4- a n cY r h.oi Ye- ca te-d <br /> oyl v d .eu 4 nkfi-L. On a ro ilt-h t• _ basis <br /> o �•� co r I (.� Pm <br /> l� ds <br /> inn-0(•o _ Y-t-5AIlr 00 rn �10 n d W 4s h �'��r�ci e • rte_�S <br /> re U.;de <br /> --- - ------- --- —- ---- -— ------ - .,_, __ - - ___-_ - -- ---- ------ ---- <br /> ftem/Location Temperature fl Item/Location _ - Temperature <br /> n 1 2 ahoy- .2rn bLe-re.1 9/01r <br /> - <br /> doo 167ve r ! F 2 door Coote ki <br /> c oo L- -- — - ..S Ac' <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: _6 ha o Oh Q D Hand Sink: I�q o f Chlorine: S� ppm Heat: F <br /> Exp.Date: arewashing Sink: 3t) of Quat.Amm.: ppm iOther. 'F <br /> Received By/Title: `• �`� ��/ <br /> EH Specialist: /` Phone: <br /> Time in: 1� Time Out: S Page, of <br /> EHD 16-24 (2^^pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />