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A. <br /> e. <br /> e ' koAa • oG SAN JOAQUIN 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.si-gov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S l .l S lcit4rgy, + Date: 0 <br /> Address: �' o A ,� City: S h .Zip Code: o <br /> S2 <br /> Owner/Operator; i O A �a a n Telephone: 6 Z <br /> T S 3 <br /> Program Element: 1�0o Program Re rd: G 0 00 3 GSC) 1 Inspection Type: <br /> Co <br /> 13180 Posted 0 Yes ❑ No Permit Posted ❑Yes [7 No Re-Inspection on or After: <br /> 1 i ,�tt,, Yx°r'- r�, ti.� �- s 7a:y7s' iy� tir. r kt�,. �T{::►tiYs'y�-nb;,� ;V n�yr.- �r +et--'", xs-_�Li�..t.* '' ';;4 rk Mffi <br /> . <br /> j`9;' �ffiv�y, .1�.5k^fa4s �ry ,i <br /> (—orA Via; <br /> �{{ {��a �C's - - 01 .2 0, � �roYyl �G <br /> ll qt r� VAC..I.J Q 0 V hLtr) dred5 O + frac r qCH <br /> 1 01 C � 1 C4 }G to WCA j �h}U d.h.v� ar m <br /> � 1S0 0r Wa115 Crc wWl. n o C4 hA C 0aG a G <br /> Grec r` E � Gh i r h0G ; TI <br /> . n <br /> G cn r r <br /> S;ae : 5. d oO &grye nC. e, 10eAs <br /> J-1.-es C4( X 61 001— W G3 Ga/ <br /> !1 ! ASdoe Ct 011 G W Q S <br /> n ' q G S r 1 t1 � It rr^ 1 a 1C4 S q I d � 0 <br /> e 1. 6 ✓ <br /> a Z e in r e <br /> i d o i <br /> rViCB C6 n IC4 ; r\ e S 5; r% a r i <br /> re tfi4 e rn10 r' pro <br /> re I <br /> Nole .' _01.seeledPS Ccrv4rJ b S;^ea CGrrl <br /> ... : v. <br /> I <br /> RIM <br /> _ c.'Ii $ `!7�, .✓.,�...., � �, i:. x(. W'isrS" sx <br /> Name: Hand Sink: ofChlorine: ppm Heat. of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received BI I Title: <br /> EH Specialist: Phone: 4(4 k / <br /> 6 <br /> Time in. Time Out: - : x Pager of <br /> EHD 16-23 (2nd pg) 1 VOMB •C FOOD OR CONTINUATION <br /> fac , 14 rvi b e hceiri►y <br /> r�a ✓ C o r rp c I-e-o! <br />