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otAuln• SAN JOAQUIN COUty 1 Y <br /> 1•�f3'FA <br /> a. ENVIRONMENTAL HEALTH DEPARTMENT Mqr aYCue)as <br /> 600 East Main Street, Stockton, CA 95202-3029 481-616150 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sioov.org/ehd <br /> tlpbp� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 6o 0. Date: _ <br /> Address: y 5 W Gyle r 2 city: Zip Code: 9 o <br /> Owner/Operator: IX4 Telephone: 16 y.7_-2/,V <br /> Program Element: /60;2-140 / Program Record: 6 /q a 2 6 Z Inspection Type: C_./� _C/nS 1,� <br /> Sat So Posted ❑Yes Cl No Penult Posted ❑Yes ❑No Re-Inspection on or After: '7 <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> r iq Q CU / <br /> s / C <br /> cW -1q <br /> r •Fj <br /> l r . Re air . <br /> of rp -ze r _ <br /> M0 171Z 4e " <br /> YD Zp C L r)7/1t till C�i 6r �MfnS <br /> C oO <br /> 1.� r <br /> D d tutu' G2. �e- Zs ct'� <br /> o <br /> IteMLocation Temperature Item/Location Temperature Item/Location Temperature <br /> r ve✓ 6OF 3 door <br /> Adw <br /> rNyaL ° <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: E\/OL 'e Z Hand Sink: / OF borl e: 6D PPMa t: F <br /> r1a8 <br /> Exp.Date: g_10 <br /> arewashing Sink: ^F r <br /> uat.Amm.: PPM Other: 'F <br /> Received By/Title: ItN� <br /> EH Specialist: L Phone: _ <br /> ^ / <br /> me in: . n 7 Time Out: /O : Q Page of <br /> EHD16.24 (2°P9) IlnM FOOD PROGRAM OIR CONTINUATION <br />