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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209)464-0138 Web:w"rW.siqov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �cl _ LO-01 Date: <br /> Address: t.4 City: Zip Code: <br /> . <br /> O%vner/Operator: M G I N c' Telephone: <br /> Program Element: Program Record: C)U ;24A- 1:2 Inspection Type: <br /> (C,'_�A CA'I n <br /> SB180 Posted Yes No Permit Posted Yes No Re-inspection an or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> C C"M V'f) Sk)'W'C-" A) ...... <br /> 0� *b Furl ID W-1v\ + <br /> +r,rr+-I old <br /> -wna("WAr�y"t Clwb(e Q ( Cf"-0C1(n1-- <br /> inSi*oeo iic:b-0 vur-M-n h,&irz tv aim S r, e/_ Ica <br /> 616 -� ye, C '\'N eic rin <br /> ca- <br /> Ty_�LI <br /> -,ee 'cin,,t rhemez) br) Ax--R cA <br /> C, <br /> \N p. <br /> St C(A-)�0 -�IAA e C 2f,)1 <br /> \is S"aw Th-0 4- Y-tzu'.'f\t�' wg_'�-fz (auoM- on <br /> Cow aT <br /> �Aolnt_Xln cov-��Tzcjl <br /> ften-VLocation aTemperature Item/"Location <br /> -Temperature <br /> Food Safety CertificationWarewashing <br /> Facility Hot Water Tern <br /> ro- <br /> Name: Hand Sink: 'F Chlorine: ppm beat. 'F <br /> Exp.Date: a rewashing Sink: of lQuat.Amm.: PPM i Other: 'F <br /> Received By/Title: II <br /> EH Specialist: Phone. <br /> ime in: Time Out: Page of <br /> T <br /> EHD 16-24 (2,1 Pg) 4013 FOOD PROGRAM OIR CONTINUATION <br />