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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.siqov.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: /A r-- le--- ()C 1--1- Ca., r+IS ) Date: / en /..1 // <br />Address: Zip Code: 3 550 LO Lcey-Yv City: ....._c ....k-k ki <br />Owner/Operator: -e_00 .-- -7 Li. <br />--• <br />-1.4.• . r Mt e Telephone: <br />‘. 4--. ..,, ' <br />Program Element: 3 Program ecord: szo_e_ be (D %.,t) Inspection Type: efill'k <br />SB180 Posted 0 Yes 0 permit Posted 0 Yes 0 I Re-Inspection on or After: <br />•• 2BSERVATIONSAND CORRECTIVE AcTIONS <br />(%..S-e rve_eS21:4_, <br /> <br />C' a r--:-s , a I 0 C q---floits C ? _ , <br />Co-4/1\9'i,Ka_A_ .) C)n.Q__ c a, le---._ cs iftha <br />L, <br />(/ n --cerv eQ__. • <br />, <br />1 .(9 tAr ?-eir- rvi 7 -----s uu .e, re 0. 11)--e tAQ S t 2 ,,seS <br />re 0 rd ..c '.. ._ <br />o.criv 42 (—P R C),5_o__ 2 ,_---- 17 0 53c1 -7-3 6 %It <br />1-` ^ 12_52_ <br /> <br />0 ),-7 <br />lE' Y 0 5 z 7 /-.. 50 I22-0 53 q - (0'.L . <br />'V 5R 1 OD 44,:•-e__ C5.11 <br />. & (2,(---(1-- 1--0—.0 ', a .7 A AI 01 ki IA p t dr, a III • 46IA c) . _aL <br />06-Q CV ki R . il 1 p 1 4, • <br />re 11-:- S . CO wry-,e_ --1-e_ erry .* _ p) <br />etily 2--C r plit'T:s ecu-12;73Et qt PPO.53q '11.4 <br />Ilr 4 -C c 5 1.-Ee . mt r)1 . "---e--. av <br />„ 0 ii...d. 0 0 ,__ey--/ or le AP 4 r A , . <br />Ale. I (1 i-ip, 14)//z I ea r---- P- ' so 0-0 ciao <br />iitc-1240L-e,e, ;--L . <br />Item/Location Temperature Item /Location Temperature <br />--- -- — <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: .F Chlorine: ppm Heat: . <br />Exp. Date: Warewashing Sink: .F Quat. Amm.: ppm Other: . <br />Received By! Title: 11'-.- LI--7 <br />.v.„--i <br />EH Specialist: Phone: /4-6 '( - 0 >35- )/U .----- 1•k---1 Page of Time in: <br />1 1 .‘k 2:2- _ <br />Time Out: ( • 1 <br />1 . 3 <br />END 16-24 (2^d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION