Laserfiche WebLink
SAN JOAQUIN COUN,.1 <br /> m' t ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 4.... .: Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.s6_qoy.org/ehd <br /> �rFOtt� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 26 O0 Date: 10- 1q <br /> S a Zi Code: <br /> Address: p I Ian st City: T).,A� P q $ $ 7b <br /> Owner/Operator: SCA f e ` Telephone: a3�j -Z 9S <br /> Program Element: 11 Program Record: S I Inspection Type: -i <br /> SB780 Posted Yes No Permit Posted Yes No Re-Inspection on or After: ' l� r <br /> " OBSERVATIONS AND CORRECTIVE ACTIONS <br /> } <br /> 10 - _ re n 4 r rc .n locr S . nK Hf <br /> ft"3 COM i I. " A _We ejes <br /> Kee,I dish t.Ja3 rL4flfta4 / A <br /> lbor. FG : lid yyluSl h SaA r- pnJc / <br /> Grrrc /c �. <br /> rr } 1 AV, LA d1w 0 n d have rt c4 be; n <br /> S ; n ntt G d re- nS j2 ec4; v <br /> Item/Location i Temperatur0�. .k Rom/Location.. Temperature <br /> Food Safety C Certification Facility Hot Water Temperature i Warewashing <br /> __. _ �.._:_ m __ - <br /> Name: Hand Sink: .F .Chlorine: ppm Heat: .F <br /> Exp.Date: arewashing Sink: =F Ouat. Amm.: ppm thec -F <br /> Received By/Title: M <br /> i <br /> H Specialist: Phone: �j� �- ,��`V <br /> ime in: Time Out: Page/ of/ <br /> EHD 1&24 (2-pg) 4rYI3 FOOD PROGRAM OR CONTINUATION <br />