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O." w!y�C <br /> SAN JOAQUIN COUNT . <br /> � . OG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.s'gov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM <br /> _ OFFICIAL INSPECTION REPORT <br /> Name of Facility: er1,r I'll 6,C&ld mapt�L4 Date: �; 1 _ 1.9 <br /> �l <br /> Address: 30 N LA w- City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: ZS Program Record: C5 <br /> -0 <br /> �D6 6 Inspection Type: i <br /> SB18O Posted Yes No Permit Posted YYes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> n 4 v o rv. d r A,(a_ i rr>k t)-f co aie fsd R <br /> 11 <br /> �a C- e.�t w �rL_ a <br /> v► Floor uncfej s I lepja/ ` s. <br /> a( "Y) o ,,�' - - - <br /> Corl�e�--F <br /> 4- 411--e-mvial <br /> s aod t <br /> �l o M y t"q Cs - <br /> t 9,u42 m e q6"� - <br /> I <br /> -�a o �(•e/n.¢ - OIC C/•e a r1 ' ! C.! w1� - DK C��Ql� - <br /> Item/Location Temperatuie Item!Location Temperature Item/Location Temperature <br /> Fr ?dao r S cwt - D'� <br /> -IeV..._A-r1a,dGhr 3VF <br /> wL�llGr�1 �V`�QZ2� �ee� <br /> Food Safety Certification Facility Hot Water Temperature Warewrashing <br /> _..__ _...._.._.. __. _ ... _— ._._. .... __......... ....__.._ .___. ...-- <br /> - . <br /> Hand Sink: of hlorine: pp tOther: <br /> Exp.Date: Warewashing Sink: of Quat.Amm.:' ppm of <br /> Received By/Title ✓�— <br /> EH Specialist: t" Phone: <br /> Time in: 0l4 Time Out: Page of <br /> 9' <br /> EHD 16.24 (200 pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />