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)O." SAN JOAQUIN COUN <br /> �•cOG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Cq•.,, NVQ Telephone:(209) 468-3420 Fax.(209) 464-0138 Web:www.sugov.org/ehd <br /> <<FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r Date: <br /> Address: O /;� City: 710 C-IL.'� Zip Code: 5 2Q1 <br /> Owner/Operator: T� Telephone• <br /> r - l�a5o <br /> Program Element: / a Program Record: S O O Inspection Type. <br /> rC h <br /> SB180 Posted L Yes ❑ No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> / r r r Q &U 62-4 <br /> 2 ivr <br /> GOD 6e r o <br /> GAO cJ ty e 11te r, <br /> r <br /> Le u D ' <br /> o <br /> Ur-Q n <br /> Aacha r- lo o r- 54wL4A bsy 14oW s4rl 42Qft�_1 r 0 vp�t7 <br /> nskLt- pro o r -to <br /> ron Au A <br /> Item/Location Temperature Item/Location Temperature Item/Location Temperature <br /> 37 Or <br /> -- -- — - — <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: 53- <br /> ime in: Time Out: �- Paged of / <br /> EHD 16-24 (2n^pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />