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SAN JOAQUIN CC�NTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> fi 600 EAST MAIN STREET,STOCKTON, CA 95202-3029 <br /> TELEPHONE:(209)468-3420 FAX:(209)464-0138 WEB:WWW.SJGOV.ORG/EHD <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: 0 <br /> Address: <br /> City: Zip Code: <br /> Owner/Operator: _ St° C <br /> Telephone: <br /> Program Element: PrograrA Record: S c�SS 3 Inspection Type: �a <br /> 8180 Posted C Yes No Permit Posted Yes No Re-Inspection on or After: 4�J4 <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> YO d th, <br /> e z� <br /> 4�nAX" .2 A..."le-S !-✓t$ K <br /> T <br /> - <br /> /? �i'c-v••�s - a� � �-. �o �a s� Caves -o <br /> Item/Location Temperature Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: OFChlorine: ppm Heat: ,F <br /> Exp.Date: arewashing Sink: OF <br /> uat.Amm.: ppm Other: OF <br /> Received By/Title: iA <br /> EH Specialist: PhoneKok-'e,J <br /> Time in: '? _ /D Time t: a ,� Page of <br /> s <br /> EHD 16.23 (2ntl pg) 8/14108 FOOD OR CONTINUATION <br /> 08/14/08 <br />