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410-a.s5 /VP <br />Date: / SPA' <br /> <br />Zip Code: <br />Name of Facility: <br />j'er,r/4 LS-C-0 <br />/7/7 <br />Owner/Operator: ,4 <br />r/zo__5-4/ct c7 <br />SB180 Posted Yes No Permit Posted Yes No <br />Address: <br />Program Element: /( Program Record: <br />Telephone: ge76---... dp0. / 7 <br />Inspection Type: )04,3440%-jrzs" <br />Re-Inspection on or After: <br />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.sigov.orcilehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />ir 0-‘:6elfe--0/ ...-1" ihel-i-4 , I • i l/ ' 71-t- / .- C- Ct-f/r. ' r r• y. <br />ar_orr el h°1-4 VW.cf. /4'. /1-4.*40/ 4.-.1 2- C-,0-4470 ...r4=12....r . zs ,a,itet."4e_cti• <br />A -/ i erf-W 5-7 1--x4e---e.. <br />/ <br />7ep 6.,/-e____ c_s" 1 -e . 7 11-bvici-e- 40-4' brcii-ft"...--1-7,.. ..„ 0-r <br />r'e' 4,571er— / /&ô4 /-eftelei-- Potrta.,,, e-irt V--14-t 37 / okre.0.4-- <br />- AI .-A, --,.....44- z...., I . <br />0 -,. <br />Item/Location Temperature Item / Location j Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: /0 6--, c F Chlorine: ppm Heat: °F <br />Exp. Date: Warewashing Sink: / ,.,-----g: o F Ouat. Amm.: ppm Other: °F <br />Received By / Title:_--.--,::- <br />----- ti 0.. i ,,- <br />- <br />- <br />EH Specialist: de Phone: <br />Time in: in: SO Time Out: Page of <br />/Or) <br />EHD 16-24 (2nd pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION