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SAN JOAQUIN COUNTY- <br /> r. y ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> .. p Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.slgov.org/ehd <br /> 4Cj�p';ia <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: a _ <br /> Address: 6j ff <br /> City: Zip Code: <br /> Owner/Operator: ( tn 0,ruqk_ Telephone: <br /> Program Element: Program Record: R 0 160 �L r1 q q Inspection Type: ��O10 I'K o2 LoLA <br /> SB180 Posted 0 Yes 11No Permit Posted El Yes ❑ No I Re-Inspection on or After: <br /> u- #.. rLo..� [N1 s <br /> I <br /> 4-1 Y , {— j Y t' <br /> 40 Out k_� r- w- "J) =G ►'L. S-b5t r-I-p-AL L-0 1 <br /> ✓1 r r -e <br /> V <br /> m va 0, 4t r Lo O <br /> an <br /> �r <br /> Y u 1r2 Y1}' --19 <br /> O 4 C 1't Cit r <br /> 06 Y <br /> 1 ) 'a'i.e U <br /> - 4- ,fin Cqi -2-0,F O r <br /> 3 e✓tom- lbreorAr .- tr - <br /> Ow cLe <br /> 4 C-e- I-,- r 4-fl <br /> 9 <br /> .„� „ <br /> f i Ion> r' IltT£':, INNEW U1caf�an- errt` tvr Item f'l pzat�o rtt{ier ure. <br /> Y- Ce ,� 3° ,. <br /> adv- q0 OF <br /> YFaocl ` e? �ca offM m i itYlotNatwrTemperafu vw arewash�ng <br /> Name: Hand Sink: t3 aF Chlorine: Ppm Heat: `F <br /> Exp.Date: Warewashing Sink: 'F Quat.Amm.: Pm Other: of <br /> Received By/Title: Pa, �Qy� <br /> EH Specialist: Phone: <br /> Time in: Time Out: 3 ' Page of <br /> EHD 16-24 (2^4 pg) 1112109 FOOD PROGRAM OIR CONTINUATION <br />