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a4P�Q£off <br /> SAN JOAQUIN COUA' <br /> q ENVIRONMENTAL HEALTH DEPARTMENT clvt <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.s'gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: V312411 <br /> Address: 3' ( City: Zip Code: <br /> Owner/Operator: ` Telephone: 7Y' <br /> (� <br /> Program Element: /r Program Record: Inspection Type: <br /> U � <br /> 6180 Posted Yes ❑ No Permit Posted as O No Re-Inspection on or After: <br /> { OBSERVATIONS AND CORRECTIVE ACTIONS? <br /> T) Cif if <br /> l h. f (o <br /> v, iIL <br /> 1A Jaa4u-y� <br /> 1 <br /> IUD <br /> ct, <br /> Item/Location Temperature Item/-Location ., Temperature Item]Location Temperatur <br /> r t l �rJ <br /> LA <br /> Food Safety Certification - Facility Hot Water Temperature - Warewashing, <br /> Name: and Sink: of hiorine: Ppm Heat: .F <br /> Exp.Date: arewashing Sink: -F uat.Amm.: PPM r <br /> ther: .F <br /> Received By/Title: -e <br /> EH Specialist: Phone: <br /> Time in: Time Out: n I <br /> Page f <br /> EHD 1624 (2-Pg) 11lI/W O� FOOD PROGRAM OIR CONTINUATION <br />