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i <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET,STOCKTON, CA 95202-3029 <br /> 1 <br /> 7r:tePHon►E:(209)468-3420 FAx (209)464-0138 Wes:www.SJGOV.ORG1ElaD <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r Q d p Date: _G <br /> Address: 7 Y IBJ; 15 0 wa City. S K h Zip Code: 952,65 <br /> G <br /> Owner 1 Operator: PAO T Telephone: R 5 �� 9 <br /> Program Element: 400 Program Record: Go 0o a $��� Inspection Type: 'G.A a <br /> SRI 80 Posted p Yes 13 No Permit Posted ❑Yes ❑No Reinspection on or After: <br /> i <br /> OBSERVATIONS AND CORRECTIVEp ACTIONS i <br /> Co a Tra3 C4 <br /> U6 Q � qVer 5 LA yjaY ra <br /> Sure. Caws lqA Su idrc ktAsed }OM040 <br /> rm aV1AI, 'cC Moldy <br /> r,d1A h <br /> � dfe i 5 ►� a r I <br /> r At dS Out b de, <br /> S W P0 tA ve W rS <br /> pr- <br /> 'K U bs d 0 164 CAn <br /> } h r; s ry he le i"a4 !en <br /> fa of uCe. F I oar Ll 5 <br /> Jpf <br /> i • <br /> i <br /> i <br /> Item 1 Location Temperature Item/.Location Temperature item 1 Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: OF Chlorine: ppm Heat: OF <br /> l Exp.Date: Warewashing Sink: OF Quat.Amm.: ppm .Other: of <br /> Received By 1 Title: <br /> EH Specialist: Phone: $,3 <br /> Time in: p 3 C Time Out: (�. 5 Page /of <br /> 1 J F00D PROGRAM OIR <br /> �H61£r23{2^�pg) <br /> ()5115108 <br />