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SAN JOAQUIN COUNT Y <br /> z ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q: .a <br /> m 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.siaov.org/ehd <br /> �%Foal <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: f �� Date: b t <br /> ddress: 1 City: Zip Code: <br /> Owner/Operator: /) T e• jK _ q5_3 <br /> Program Element: Program Record: Inspection Type: /� <br /> SB180 Posted [-Yes .J No Permit Posted i Yes F. No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 1 <br /> Item/Location Temperature Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: + Hand in �Ov -f of Chlorine: ppm Heat: 0 F <br /> Exp.Date: awashing Sink: / of Quat. Arun. ppm Other: of <br /> Received By/Title: <br /> EH Specialist: , Phone: y —D 3 3 <br /> rime in: �`7 y TimeOut: 1 l Page of / <br /> EHL)16-23 (2n°pg) 11/06108 l/ C FOOD OR CONTINUATION <br />