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�AN JOAQUIN COUNTY <br /> 2' ENVI NMENTAL HEALTH DE TMENT <br /> 600 E. Main Street,Stockton,CA 95202-3029 <br /> c' P Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: j/ r r Date: `` <br /> o <br /> u ( <br /> Address: 53 <br /> �� City: 7�p�yode: <br /> Owner/Operator: Tel%elep <br /> Program Element Code: 1 Pr mm RecordID: I ee41 Type: <br /> SB180 Posted ,Yes 7 Not Permit Posted . es O No Reinspection On or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> i <br /> Item/Location Temp. Item/Location Temp. - Item I Location Temp. <br /> Food Safety Certification Facility Hmperature Warewashing is <br /> Name: Hand Sink: dj[Clhlorine: ppm Heat: F <br /> Exp.Date: arewashing Sink: Oual 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 CRITICAL HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT TO A REINSPECTION AND REINSPECTION FEE. <br /> Received By: ' Title: <br /> � ( L <br /> EH Specialist: Phone: <br /> 9- 68-x33 <br /> 3 V � g <br /> Time In: D Time Out: 0 Page: / of <br /> 1 J <br /> EHD IBM(2ND PGI FOOD PROGRAM OR <br />