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aRaklN••e " SAN aJOAQUIN COUNTY' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.siaov.ora/ehd <br /> �IFdR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Do ug Date: —12- <br /> Address: I - City: y y�• <br /> �tyj Zip Code: 3t:5 , I <br /> Owner/Operator: � 1 Ce— Telephone: <br /> Program Element: 1 -Z3 Pirodram Record: /7 Inspection Type: <br /> SB180 Postetl Yes - No Permit Posted 7,Yes 0 No Re-Inspection on or After: <br /> 'ACTION <br /> r <br /> at n t ' 'Li o LUA-i Oq d Go rt <br /> vl VLe�-� a- cLi C 0.�L- <br /> ro c14- L,rrN rn-e_a4 a cL+ jo Lai + c" <br /> stL"_*ia Lk3 <br /> y �s ern `20 1 L <br /> V1_ l <br /> d oo r zr Le.r G <br /> h . 6kalx 1.a - i +- Lo W4-*- b L4 a-L4- <br /> C_00c> CmQa r+ <br /> i cam_ ok- rum bl <br /> vm -101 -1-2- <br /> d 6'e✓vi cg' L-o -e 5 V16 4t- Cer-K moi' <br /> WL,-K"N card b ► rrl - 4 <br /> h o rcu l.L C r e ✓t rn a nduJas ` >'r <br /> K.i ti'u rz ro ce dv rw <br /> Y-u-e_ Ll <br /> to._.. ;..nd: <br /> �e: Sink: ( eF hiorine: ppm 'F <br /> Exp.Date: — arewashing Sink: �, 'F uat.Amm.: PPMr: "F <br /> 1000 <br /> Received By/Title: . <br /> EH Speclalist. Phone: Q'>�b _/7? I/) <br /> mein: 1 .,On Time Out: .4� Page of 2 <br /> EHD 16-24 (2e pg) (/16/12 FOOD PROGRAM OIR CONTINUATION <br />