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Date: I D <br />131 <br />Zip Code: '2O <br />Telephone: uct 4—E-Leis <br />Inspection Type: c..A)ryvo 011/4 r\4- <br />Re-Inspection on or After: J hov <br />Chlorine: <br />Facility Hot Water Temperature <br />Hand Sink: °F <br />°F Quat. Amm.: <br />- <br />Item/Location Temperature Item / Location j Temperature <br />Food Safety Certification <br />PPm Heat: °F Name: <br />Warewashing <br />Exp. Date: Warewashing Sink: PPm Other: °F <br />Qv °Long/ I'DVQS tLre charqA when (sui <br />if?sre)No2tMen me • ctl,oi ANI mat: DIA- al- <br />( irnotier <br />vvA 6 urCA6N9-17) r-Ai2)m eiktT4D\jes a\KWalao. <br />'WDkitr.f2 SA-N-(4- c2v MtY1tr q1D\M NGtqlt ‘panoks 1f2f2ANickgrl f^rot vim-) IDUchtlrfP <br />\ro*oc aAvk -f-ccdS to e <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siciov.orcilehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: er4A1\40 YY1A-VV-eA-- <br />Address: adk Awkin uk-WY r City: g <br />%to k<n Chun <br />Program Element: \ Program Record: <br />Permit Posted Yes No <br />Owner/Operator: <br />SB180 Posted Yes No <br />SEA VATIONS AND CORRECTIVE ACTIONS <br />o c,orn octant tospe&ton, no VIDtal-UM d9g-e_YQ-Pct <br />v-iiic-pc-)cAl <br />Received By / Title: <br />EH Specialist: W,Kka pxiiitcep <br />Time in: 0\ <br /> <br />Phone: Tj1Y1'-'1 ---301 1-(0 <br />Time Out: I 0,Ljiot nel Page of <br /> <br />END 16-24 (2^, pg) 4/3/13 <br /> FOOD PROGRAM OR CONTINUATION