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UIN <br /> �o�� •.�oG SAN JOAQUIN COU ' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • '�iaN;p Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.sl4ov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: O Y-\ -.0, Date: 8-11--1 f <br /> Address: -2- l-o1 mot YcL� City: GL � Zip Code: 1215:2-1Q <br /> cAt- <br /> Owner/Operator: •Tonal d tlm: f cam ' U Telephone: 5 <br /> VV 65 <br /> Program Element: (pd( 523 Program Record: 59-00 <br /> ¢O0 (o qq 1,2 <br /> iray Inspec Type: na I <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> l or Ln Y4 s4y-on <br /> rru ka v I h -}; a Y r ek r,-in <br /> p rl n c.+h 3l `►1 a�- <br /> kzAun -Cb.- �V,.P_o �s u_)as-k skmLA cLr-�,q Lerfy <br /> I _4a6 r SNc_ <br /> ! r- r on r <br /> L <br /> 4 L t <br /> `?ro --Cie&► r its e, a,.or <br /> Wa LA <br /> ha nno 12 51'• S -- ,t <br /> ."I C U Ai-LrS ( -044-+- fro o f <br /> o nA Cncln qla 0 an Lce, WuLprs W Q,54R_ p <br /> ,i neo <br /> f.et' rrLe,7 <br /> r K Iy SF 2�u-i�r7V n+ C_1,1 S,JA <br /> 0 <br /> Item/Location Temperature Item/Location Temperature <br /> r I2,� <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: /as of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: 1-36 of Ouat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: _Yn wA /_ _w-Z -{_ .wl f Phone: <br /> Time in: I r O 0 �' � Time Out: Page of <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />