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°PA " XN JOAQUIN COUNY <br /> Fel <br /> ENVI MENTAL HEALTH DEPARTMENT <br /> 600 E. Main Street,Stockton, CA 95202-3029 <br /> ' 209 <br /> Telephone:Tele <br /> • cq.�,Y>� P p ( )468-3420 Fax: (209)464-0138 Web: wwwsjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: f 1� Date: <br /> C, $ C i Ur 5- 28'-Or <br /> Address: City: Zip Code: <br /> �7 ° 7 TrR Y SeoP 952ob <br /> Owner/Operator: Telephone: <br /> y6S- 52/n <br /> Program Element Code: Program Record ID: Inspection Type:Y� <br /> /� Uull�A <br /> S81 80 Posted 6 Yes 0 No Permit Posted 1(1'es 0 No Reinspection On or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> pJ. lu 'i Uh5 a I 1 <br /> A)l `r/ Z PY GYco In CIA / <br /> Uo It 11 re Ahpea�alpd 14 rk1 n v OL/Pr S u m wi e + v <br /> r <br /> Item/Location Temp. Item I Location Temp. "Item I Location Temp. <br /> Nor, ) 17L `!U F <br /> Food Safety Certification Facility Hot Water Water Temperature Warewashing ll <br /> Name: /y)Q Hand Sink: 'F Chlorlw ppm Heat: •F <br /> Exp.Date: arewashing Sink: 'F Duat.Amm. ppm Other: ppm <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF THE SAN JOAQUIN COUNTY BOARD OF SUPERVISORS. <br /> ALL DOCUMENTED CRITI AL HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT TOA EINSPECTION AND EINSPECTION FEE. <br /> Recely d By: Title: \34 ✓1 i i7 i <br /> EH Special : tPhone: ' ILC.%( <br /> Time In: �7 O Time Out: I(� <br /> I d • I• Page: a of Z <br /> EHD 16-23(2ND PG) FOOD PROGRAM OIR <br />