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01�9.9!fv.. SAN JOAQUIN CC__,TY <br /> q ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • C;Q., �P•• Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.si9ov.orp/ehd <br /> 6*4 L <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: toco, I -2 a�> 11 <br /> —� r Date:co, <br /> Address: r�ln I `� City. Zip Code: <br /> Owner/Operator: l� r '� ,L+ Te€ephone: � '1 t <br /> Program Element: Program ecord: Inspection Type: -T-e <br /> B180 Posted Yes No Permit Posted Yes No Re-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> c5 Go <br /> /7 <br /> � n1f5 <br /> aorre <br /> � r � <br /> t <br /> Item/Location Temperature Item 1 Location Temperature <br /> Food Salty Certification, facility Hot Water Temperature Warewashfng_ <br /> Name: Hand Sink: - `F Chlorine: _ — ppm Heat: T <br /> Exp.Date: arewashing Sink: 'F uat.Amm.: ppm they: 'F <br /> Received By!Title: <br /> EH Specialist: Phone: 0/63 <br /> ime in: Time Out: !� • q6) Page of3 <br /> O EH 1&24 (2°4 pg) 41N13 tJ T F00C)PROGRAM DR CONTINUATION <br />