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P4"'" SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALYH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> • ..• ;P• Telephone: (209) 468-3420 Fax: (209)464-0138 Web:vvww.sl4ov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: c� <br /> Address: \\G,\ E clty• Zip Code: a 5 <br /> Owner/Operator: Telephone: '3'S__7 ' 5 <br /> Program Element: \�\ Program Record: Inspection Type: <br /> SB180 Posted ❑Yes ❑ No Permit Posted I-]Yes ❑ No Re-Inspection on or After: 2 <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> C <br /> F\..., \ b. _ A-3 c. <br /> c'A- <br /> 0 \ ,-j-TA-L. 1=C I-4— n <br /> � C \ <br /> 3 \e s ' <br /> Item/L atio_ Temperature Item,/Location: mperatu <br /> IF <br /> z7 <br /> D-QQ;.' c�cc "A 'S v 1— k�o C' ""_WL sv .0 1— =x , J2 L 1`A 1 t-- <br /> Food Safety Cert.fication Facility Hot Water`Temperature <br /> Name: Hand Sink: of 7Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: of m.: ppm Other: of <br /> Received By/Title: 16 <br /> EH Specialist: Phone: 1 <br /> ime in: , 0 Time Out: 1 � Page,of <br /> EHD 16-24(2^d pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />