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Fr:G SAN JOAQUIN COUNTY <br /> K ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET,STOCKTON, CA 95202-3029 <br /> TELEPHOim (209)468-3420 FAX. (209)464-0138 WEB;WWW.SJGOV.ORGIEHD <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: _ !� <br /> Address: Al/�S {. City: Zip Code: O� <br /> Owner lOperator <br /> � rte— h Telephone: �Q <br /> Program Element: ` Prograf6 Record: oZ 94 Inspection Type: <br /> � M- Qi <br /> SBI80 Posted OYes ❑ No Permit Posted Yes ❑No Reinspection on or After: . <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> � ry <br /> �. e- u ur aoW wal4r f cY G l-e n-e or <br /> -The IV-veldlr cors lznvee kjfA M '[z � <br /> CL <br /> �iQc s' <br /> Item I Location Temperature Item!Location Temperature Item!Location Temperature <br /> Food Safety Certification. Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: OF Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: OF Quat.Amm.: ppm her: of <br /> I <br /> eceived By I Title:H Specialist: Pho e: <br /> ime in: , O Time Out: ,ag Page f <br /> EHD 16-23 (2nd pg) ' FOOD PROGRAM OR <br /> 05115108 <br />