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IF JOAQUIN COU <br /> to: a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> � ..,• y,.�;;P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> L�FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 6-�Y—,-, Date: 1-5 -16 <br /> Address: 3 26,C- <br /> d, City: Zip Code: g,,5� <br /> Owner/Operator: Mir K �T7�vn is- Telephone: W(0 _Q <br /> Program Element: / 2_4�0 Program Reco d: O Inspection Type: AZ i . <br /> SB180 Posted y*Yes No Permit Posted Yes No Re-Inspection on or After. <br /> OBSERVATIONS`AND RRECTIVE A TIONS <br /> ..r ,.:......a •'' ...tr -:,. .r.' v„ <br /> - _—�' i,n Wa tCrd55 dd , hwets <br /> +0 of n-ac -t V-e <br /> oil <br /> c,_ QL-e a_ .. �i.._h........._............. .'.._4p.._......_...,`2..._......__------ <br /> .._41 i'� L......._.___v <br /> r of n_e L yL r, k- -fv_ <br /> V" r O 60 r (,n m-t n's -e r> 4-f o o ri <br /> x v-f n-4� YY1 o�;v�-1-? ;1 L-Q— ixo V4 1+ 0 d-e-�-r <br /> ........................................................................ ..................... .......... .............---...................... <br /> - ---- <br /> ............__ C"o Y- a�-«I <br /> ,y <br /> lic <br /> e � <br /> etli�sera <br /> $ ��� CfI #4k Water ':em ratufC, *., ^. 1M1larewashmg ' <br /> �'"" Fold Saf �� tto,l'<� � its► <br /> Name: Hand Sink: ofnil aQ ppm Heat: of <br /> Exp.Date: sing Sink: of uat.Amm.:Il ppm Other: of <br /> Received By/Title: <br /> EH Specialist: 4-- Phone:Cj <br /> g I <br /> Time in: /2;-66 Time Out: Z� Page Lof r <br /> EHD 16-24 (2n1 pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />