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oPQul"' SAN JOAQUIN COUNT <br /> to: XX ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.siAov.orq/ehd <br /> �f FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �� Date: '�5 , 2 <br /> Address: T e ^ �, city: r C4 C zip code: 75 3 _76 <br /> Owner/Operator: TeIepConi. 4201-2)06 <br /> Program Element: Program Record: Inspection Type: a 4-. Q <br /> SB180 Posted Yes _ No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> bt, d 4 .) fcn4e to 0 KS. <br /> Item/Location Temperature Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature r . Warewashing <br /> Name: Hand Sink: L C t of Chlorine: O C, ppm Heat: 'F <br /> Exp.Date: YVarewashing Sink: IS -7 of uat.Amm.: ppm Other: 'F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: : y Time Out: a OS 6 o Page,of <br /> EHD 16-24 (2'1d pg) 1/16/12 FOOD PROGRAM OIR CONTINUATION <br />