|
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.sjgov.orq/ehd
<br />FOOD PROGRAM OFFICIAL INSPECTION REPORT
<br />I.Name of Facility: -tom 5 MAI:L(ET Date:02 _0,2„,2402.3
<br />Address: 331 r..) cALIFoRNPA ,1- City: .51..00 kTorg Zip Code:(4 5 240 2
<br />Owner/Operator: M044.Alvi tp ) kNALti.. FAD eiL Telephone:
<br />Program Element: . o f ___ Program Record: c 0 00 55.5 7 . Inspection TYPe: CO 111119LA k
<br />SB180 Posted D Yes U 1 Re-Inspection on or After: 441M. 0 Rermit Posted
<br />OBSERVATIONS AND CORRECTIVE ACTIO&NS
<br />elV AT U k_E., 0 F L-6 r-1 i- ,t-i I n.r-t - : t‘aeti p Loci It\mt,IT 1304.) C i-tr A 1204SEST 13E---F SANI:vt,v ic_14
<br />Afs112 VOL) NM A y&t.ussim p i iv f3/4 X. 126f4;e42, 5vrA.4 i N -r41E SA Npvilt c+1 6 eppex.
<br />C4A4P LA i 1..3ifk-ty-r 64R7) >ekw uesel- 5-Tor-1 A c4q--- ._,cF1.42...A-r1r.)e, 4 5 4514-D 54NIP -
<br />v1/4nc--1+ 144-13' A WA l2. 1(4 il- Co rtneuritiatAOT RE.POR-Tel2 Emew }.Ef-S i;t2 prol"
<br />'1/4.4trY1(2- tAptig... NFTS - A19,i2i -rior4 fkl.Vi 1 cnivi puicow FerVr sToisTe-ID "tiiicc Ft,"AL - Ar y
<br />1"1/ACE--5 5e ="n0 LAA c-VA E'S 111 'Kr WE-12F 1912E-ort-Vegb A 1439 yoLA cEs
<br />t 0 tkifsekCiElZiok -r012- • FAci Li-r i i Ve.5 113, or t4E-e, GO.StOtkiv,42,5 IV 1.1 0-r
<br />pi cKE,i9 op,
<br />5I-r6 VI5v -r. Mer kj.)‘1-14 o \A t4 Ea- , 0 Ls Cu S S ei9 ("JD is." eL fq trrv cu ti-14-
<br />ow 0E12_ Am) 19e1..-1, 5.-roW l'Iv 3 P Ec_.t.-- .8.,t) ALA_ 5 t D)2,,A cs, E AR ..Ft s CotX) - )
<br />1-4Ol..0 I NCI ) V' Ref AR_EIN I 121 2,y s-rif) 12 A4F vm_sif A (2_,?:‘ ‘711, m crr ) .,•,141, ,
<br />05 eR_V E .At•ly Y-t- R_A 0 os F Iticktrz ff-toAL-"E-rvt,et.oVEF3 c. _ANLyboikee.E.
<br />V-1-Ptio ‘,1 A tg- 1- 1E4) t3toq OS A00 10 A +i3 um w vri-kiN3 A +A K\-- .
<br />u.1 \ 1,14- 54-0 12-77 VA 1; ( R-. .. EM opy €6.5 ..6"-K.A f• lip Ve 9J4as 0 a seizy€49
<br />51- 12-A -rep 144 vict- )/15LL-OUi \MAK fEefeES .AkE. 'PRGPPED wk1-14-
<br />our -rbaE -0E.-A4 . ow NI elz_ tE • • . - ' 51k • ,. c% • •_.€ o 5L.. .
<br />OKVEIZ 6i> C op -r ft c k fi9 oe ) II- CoLP -44 .EA-1) AT Lit
<br />AN1 19 De-- ee-1_0(K\ r aNi ØE ot-JD S ft 3C- CE- It- t-1/4 A 5
<br />t-N -c- Li ‘ s-reD oN G(kvA,0\)3 tc,t.k A.\>' S -Am vut icA4 ri GT
<br />._,c,i_if, r=t-r -r-174 f---N17 D DAy ‘s i3s Is r tAri2t512..
<br />Item/Location Temperature
<br />Li (F
<br />Item I Location Temperature
<br />bE-1-\ / NA 6xr. cok.6...e,
<br />b L i \NALv.. IIN1 ,C-F
<br />A4u Li- 1 - 1-,,,-)0 12_ . vw.uy..- N 1.--
<br />V Food Safety Certification
<br />Name
<br />Facility H Water Temperature ' „,-,- - Hand Sink: \00 .F
<br />Warewashing
<br />!Chlorine: ppm at .
<br />Exp. Date: Warewashing Sink: \ °F !Quat Amm.: ppm
<br />!
<br />Other: °F
<br />Received By / Title: N 0 --1- s 1 ct, 0 .1?
<br />rs EH Specialist:
<br />tillAP-f)
<br />Phone: z09....56 I _ 279 2_3
<br />Time in: /0 .: Oa 4 iv) Time Out/ D ; 3,5- A 44 Pagel of(
<br />EHD 16-24 (2,, pg) 413113 FOOD PROGRAM OIR CONTINUATION
|