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SAN JOAQUIN COUN . <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.orq/ehd <br /> �%FORD <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: I Date: 2- 1�2-1 , <br /> Address: O O , 1; / rL n F City: T.o Zip Code: Cj S S 7c <br /> Owner/Operator: W l� Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑ I Re-Inspection on or After: <br /> ter.= OBSERVATIONS AND CORRECTIVE ACTIONS <br /> '6 ru,'1a A <br /> S C -- GCI Orr C 4 e </ <br /> (15 Han d , h V Co fro /GClei <br /> 3 G <br /> hoe,5c <br /> lotWertry► f: c 11rr C �r <br /> 4 L o V f r r 14 r' Itf 0 yor <br /> 5 o / lour 1 <br /> DU U4ens . /5 n C A lht C, 4ve/nN <br /> G uIl //u on �h CJS <br /> Cot,P fP G h c+S U P,V; rT1 Pre Vb di1 <br /> C SAP. <br /> {Jv re t/: erct e i 2ZIa; <br /> C r • l r 10 " Or blelow Cl I .F Ccrr c-1 iclay <br /> Pro v; r G I >1 ron <br /> _ o G C 1 ff <br /> l() <br /> Pro 1/i .d i on n 1 h er c )C <br /> r; rav r 6 c,r te t- 4c alal <br /> r Cz L,, je e 15 Lop a l� <br /> Sc,n;4 . Lrr LI(W, 1 '/p 0 Ch lot <br /> Name: Hand Sink: of rhlorine: ppm Heat: of <br /> Qn 5 u 6u►;odo <br /> Exp. Date: I 3 'I arewashing Sink: Ia I ofmm.: �206) ppm Other: of <br /> Received By/Title: Vi, <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page 2of Z <br /> EHD 16-24 (2n'pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />