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tp <br /> C,oSAN .IOAQUIN COUNTY <br /> �. . <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> ... _ ;v • Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> 9��FOR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S__ I v\ Date: c.-1 - 2-CA- I <br /> Address: ;b 1 b �E MCS City: Zip Code: S2Z0-•-7 <br /> Owner/Operator: j Telephone: Ct S—I _ SCS <br /> c _,N tJ <br /> Program Element: ` \ Program Record: ,b Z b-43 Inspection Type: <br /> SB180 Posted ❑Yes 0 No Permit Posted ❑Yes ❑ No Re-Inspection on or After: 1W <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> r� S <br /> �r 4 Aq' E. <br /> 1 ' F <br /> . <br /> `J ?r3J -�rV �o�,.,,� k/-A <br /> l\ A- -F <br /> 2 PN <br /> O <br /> 3`25 1= <br /> Item/Locatio mperature tem I Location Temperature Item/Location mperature! <br /> ' <br /> tet"► ti c'1 F �0 33 1= <br /> ,-pro C&S > "\\ o t.� �. �\ �� 9 ' 1= <br /> Food Safety Certification '_ Facility Hot Water Temper ture Yirewash <br /> Name: f'f ;0,_4Hand Sink: \��� ofChlorine: ppm Heat: F <br /> Exp.Date: \ 2� arewashing Sink: Z�+ of Quat.Amm.: ppm Other: aF <br /> J xu <br /> Received By/Title: <br /> EH Specialist: Phone: N bg_173 <br /> ime in: Time Out: ,.L� Pageof <br /> EHD 16-24(2o°pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />