Laserfiche WebLink
SAN JOAQUIN COUN.W <br /> z ' ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax.,(209) 464-0138 Web:www.sioov.org/ehd <br /> Grvo'a <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: fa5M1 Jj I 1.f(c, Oreo/v) Date: I_CJ_11 <br /> Address: I) I y )/!.P City: ! fm C Zip Code: I/ <br /> / 3 <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: o�A 1 ;A4 <br /> SBI 80 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> oeseR crit/ ACTIONS <br /> _c , Jt ....... ,. _ ICAC kS ccl� W.,4,r <br /> GUY rec I- <br /> 2 _P r oy i d . ._aLn ! $a tt : J' I L.=/ -- L��L-}---'t-�'L''- -'Z-- e . ,e r �- , n% <br /> --- <br /> Week. _— 1._�._[/n_ _ i o 1 v J: c✓t 1... ¢--- D o—Wl% r— a r J L S-_ ,�j ) <br /> 0//3, <br /> ch,& ,l c <br /> e r c i a l r l Ir ra J cr _ W._! h S l Ir�j t dC / - <br /> 1, 4)6 cell ncn - Ccr e4e,r ,c, 1 r0 ii; r Jcr fcr <br /> o Jtn J:y 11 h c, ar dcw ao., c r re c J I c, c� i <br /> aorlrY9 C, C, f E , 0 A . T 1C n <br /> GIoSS 1 (� IlAu r ki's. <br /> 6 �rU✓tolIe +oc /4 cel l ! J <br /> Cc free1 t G r� <br /> Car and b )O 1h bAck O' e,%; 4c & 4 , ,Ve­ <br /> b �" <br /> ecd 7e, ion & ti F i rre Z e t'. / 4 o -roc,,/ <br /> In A I e r a b/t a ' n e r I h -..._A .;.......IPJ _._ -- <br /> Salts <br /> _ v <br /> t: RIZEE <br /> _ <br /> True l;" Oor 1e 39 / 1)On-Cc✓nr/7erc al qC) r <br /> T 0e <br /> Safety Certihcation %Facility Hot Water Temperature Warewas hing <br /> ame. Hand Sink: - I `F Chlorine: PPM 'Heat. `F <br /> IL <br /> Exp.Date: Q.j . T t arewashing Sink: 1 4U, of Ouat.Amm.: PPM Other. `F <br /> Received By/Title: <br /> EH specialist: ' - _ Phone: 416,11•-3/6/ <br /> Time in: iO, Af Time Out: G:S Page o f <br /> EHD 1&24 (2-pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />