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0 SAN JOAQUIN COUA <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.s'gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 13C 1 ; C i U S S ; 0!1 Date: 1-10 -13 <br /> Address: �'S fo S f City: Iu Zip Code: C1 <br /> Owner/Operator: Telephone: ✓J <br /> Program Element: Program Record: Inspection Type: f . <br /> SB180 Posted Yes No Permit Posted []Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 6 ,00 an J( (J at !/d! <br /> O o . n <br /> want / r '✓1 i1 A. 0 f. <br /> n � a i1 or ti bove l a rt c! <br /> U oAA Cc le in 2 Wt <br /> tR 14 es j rcu;n CO t c <br /> 11 Ain ,•,f• �' irnf C6 iem I't <br /> jc <br /> n <br /> Mole' 0 ciA m VYIO t r 0 14 1 s , ele. tA S It <br /> vae : 'I' opm. d JL w rove 4-0 U.S 0 rpv � <br /> Is Orr <br /> lt : Resiroorris closed 40daj <br /> 0 4c, F4 C;I,- IpnS t - r h � { aY. <br /> perature - item/Location T_Te, <br /> ruc 0- 00r) 9 F <br /> i <br /> Food Safety Certification Facility Not Water Temperature Warewashing <br /> ___ ._._...._ Ec <br /> ....... ......_. PPName: Hand Sink: of e: M Heal: aF <br /> Exp.Date: arew fishing Sink: of Ouat.Amm.: PPM Other: - aF <br /> Received By/Titl <br /> EH Specialist: Phone: q6 <br /> ri /b,- <br /> !me in: /�,• cl U TimOut: Page of- <br /> l 1 2 <br /> EHD 16-24 (2^ pg) 4/9/12 FOOD PROGRAM OIR CONTINUATION <br />