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SAN .IOAQUIN COL 'Y <br /> op..........c <br /> .A ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.s'gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: / - � j t �J Y Date: 7 <br /> Address: C4 A�4jyV1/,/_ <br /> ity: j Zip Code: <br /> Owner/Operator: 'v2 � Telephone: <br /> Program Element:to ovProgramRecord: 1 (i-)- Inspection Type: ` <br /> B180 Posted ❑Yes ❑ Permit Posted ❑Yes ❑ I Re-Inspection on or After <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> v "! r/V 011V�?tiLFJlvntt t Ai i i. <br /> y <br /> Vju <br /> i, 44i►„ ✓1 l V� W/C,f4-7 <br /> `-e <br /> A\ -v v-ut 1,v-4' <br /> d G�P Gt Lt'l G 6 v_4,1 <br /> WV� <br /> 01;Y LtY� <br /> Awl 1q- � .�✓eke <br /> item/Location emperature Item!Location I Temperature <br /> I <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: NVarewashing Sink: of uat.Amm.: ppm Cher: of <br /> Received By/Title: <br /> i <br /> EH Specialist: Phone: o <br /> ime in: 11; Time Out: r� Page of <br /> HD 1624 (2itl pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />