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SAN JOAQUIN COUP <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �4•..., y..aiP Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sogov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: de re-, +0 *-7 11 <br /> S Date: -2-,2 - S <br /> Address: 2:1 a 0)i r' �� City: +0n Zip Code: 01 5-2-Z 44 <br /> Owner/Operator: L 1 IDI Telephone: <br /> o at <br /> Program Element: 632_ Program Record: P2b 1 (.0 V9:: 49-004-111�� <br /> 6180 Posted Yes F1Rermit Posted ?' VYes ❑ I Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 4- -lam loo - t O$ F b t 15 <br /> 14- h +0 3 -t.�j s'�...tc 1 a-c l c-s v thwe'L <br /> v-no -els0 in-e_ no a.i Co-�Lc. �r s 1l ujas 1'e <br /> It, o'er <br /> s v0W1In 01 n (�o y <br /> ate. <br /> Item/Location _j Temperature Item l Location Temperature <br /> , , .. <br /> YYyi I <br /> v Otasn6flas 1 690F <br /> Cr,..5 C.0 r h'0 <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> ame: Hand Sink: /. ° Chlorine: H t: <br /> F Ppm „�$`1 tear rF� Cl *F <br /> Exp.Date: ,� L arewash g in /y� ^D pp <br /> J °F uat.Amm.: v`� m Other: °F <br /> Received By/Title: V <br /> H Specialist: Phone: 1 <br /> Time in: 'T'30- Time Out: 01 <br /> Jr Page9of __1 <br /> EHD 16-24 (21 pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />