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SAN JOAQUIN COUN . <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siciov.orgiehd <br /> <br /> <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: MI r 4 S 14a <br />Address: <br /> Date: 7.17 -is- <br />/7 // 5- UniGi'l <br />City: ,S. i ..,' Zip Code: <br />1K el <br />Owner/Operator: rk- ed r,c K I-) iA r ) i Telephone: 7 f 7 <br />0 ) - 2 2 1 '12" Program Element: ) (0 0 3 Program Record: S p c07.2 702- Inspection Type: CoNci i <br />SB180 Posted 0 Yes 0 Rermit Posted 0 yes II Plc) Re-Inspection on or After: <br />L,(11 <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />il;n tP 0 9 if L. <br />Prow: di, 4 c'-'e ;spe nJer pr;,. Lis e <br />A, ) Pod prrp allowed (6 <br />err -pa(-)19 ccAok tAis <br />bed ; <br />perfro1c 20/S 04te -fl' e ) ))49 vc <br />63 els k -r5j f-reS h 6- r <br />Ite <br />tArbb-GI;r ere <br />Temperature <br />q <br />Item I Location <br />S-ie "n4- /e. 1St, F <br />Temperature <br />Name: <br />Exp. Date: <br />Food Safety Certification <br />rt Cdti (14, Ht4r5 <br />- 3 - 6 <br />Facility Hot Water Temperature <br />Hand Sink: <br />°F <br />Warewashing Sink: Quat. Amm.: <br />arewashing <br />PPm Heat: <br />PPm 1Other: <br />Chlorine: °F <br />°F <br />Time in: <br />46r J/61 <br />t Y.4 <br /> Page of <br />/ <br />FOOD PROGRAM OIR CONTINUATION <br />Received By / Title: <br />EH Specialist: Phone: <br />Time Out: <br />END 16-24 (2^, pg) 4/3/13