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SAN .JOAQUIN CANTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET,STOCKTON, CA 95202-3029 <br /> l' TELEPHONE: 209 4 ( ) <br /> ( ) 68-3420 FAX: 209 464-0138 WEB:wwwsJGovARG/EHD <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: f c 5 }r; }; o n Date: �Z _ 0 ri <br /> Address: 0 9. Wa ler too (A City' S4 K h Zip Code: r4 S 265 <br /> Owner/Operator: Telephone: b y- s 7 J y <br /> Program Element: Program Record: Inspection Type: pceu a:he <br /> S8180 Posted E Yes .1 No Permit Posted D Yes E No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> au r du c 4 S �M r- er) Iabeled rs, yeov; le labels <br /> M aniA fac 14r C . + 54-, Z : Cod We . h / CIA <br /> Ih fPd: erll $, Gofrec4 1h eeIt'. <br /> r,j3 C0M S nK P c4 KS(� %Andef n Nbu <br /> o cWe4. <br /> iY� L e e K3. UV¢r TIG rv 4 ; <br /> IJ 06t ev + � 0 '3 Ce✓H S K <br /> raw oa d W: 1h 4 hale enrvl64t or S'em /an �. <br /> N Wo4cr 0n1 e 011 Vbr <br /> S f n +L ✓ 4" <br /> J 110'f <br /> Item/Location Temperature Item/Location Temperature Item I Location Temperature <br /> -Irruc ! - dcc,r ) <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: /14) 'F Chlorine: ppm Heat: "F <br /> Exp.Date: arewashing Sink: //D r'F Quat.Amm.: ppm ther: "F <br /> Received By/Title: <br /> EH Specialist: 77P7age.,, <br /> ime in: /- 30Time Out: of2 <br /> EHD 16-23 (2n°pg) 8/14108 FOOD OIR CONTINUATION <br /> 08/14/08 <br />