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°P -CION SAN JOAQUIN COUI <br /> H. ENVIRONMENTAL HEALTH DEPARTMENT <br /> - = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 9G/FO.RtI <br /> :P Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ACOS Date: T�3� <br /> Address: -130 r,A, City: �� �„1 Zip Code: 15 20 <br /> Owner/Operator: R3 n q rCt_A Telephone: 4-2-3 _ 3 874 <br /> Program Element: (p O3 I O&rygram Record: R-dI� .?2`.7 �,0 Inspection Type: <br /> 11 n - 40kz�fa <br /> VI-8-6180 Posted ❑Y s Rermit Posted [--Yes ❑ I Re-Inspection on or After: <br /> 0po <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> v a _ <br /> U!, '3-.xry ) 2f 3 <br /> Pro LH cam. a n 60+h 'i do s 0-� Vt O 0-a nu <br /> r + <br /> -1 r`C -e l.Q c_e- Or' <br /> - K 4-n 4 om Ce-- z s <br /> Ty- <br /> r2v t atitS4M - <br /> Item/Location ti�a,,..:Temperature Item t Location Temperature <br /> cy C.d 13o�c - --- - -- <br /> Li <br /> Food Safety Certification Facility Hot WaterTemperature Warewashing <br /> Name: orcin A I 'q �( Hand Sink: °F Chlorine: �7Oppm Heat: �F <br /> Exp.Date: l 1,I �-� arewa hi Sink- IZ` 'F uat.Amm.: ppm Other: -F <br /> Received By/Title: <br /> EH Specialist: a Phone: 1L 3 _ /�15 <br /> �O -� <br /> Time in: 50 Time Out: 7 CJ Pagelof <br /> EHD 1624(21"pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />