Laserfiche WebLink
SAN JOAQUIN COUI,.,' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> 4Fii'n <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: se, c - E 0 C, Data; // - b_ r 4 <br /> ddress: W 1 1 4-- j ; City: Zip Code: 9S <br /> Owner/Operator: 0 Telephone: <br /> Program Element: Program Record: Inspection Type: C 4 ^ <br /> 8180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> 1A) CAI e / n. - l 0 If <br /> fVed7 LjCA ( - i nY nn n ul S <br /> Qn of r, droilaed I Gi n <br /> cL y 1 L F a(l el 0 <br /> U L qA 1 . cr IZ.P <br /> 6C A "Jo e /ec, Kt n n10 eaI we ! , r <br /> n 2 1 e lej <br /> 6 0 'it LA 5,14 tts i) b . <br /> S Ag wo 4er let, ✓: s/ a u r' 1 /rn <br /> 41 i �• CQ <br /> III! SI /�C" <br /> II,00_ Gn Uet � ar1 p1 Sin S lQe )e p W r Jcs <br /> ecrreCiP,0f. <br /> rPe-i i r WC, C4 rrb 1, ✓ on C dil <br /> r'Y1ry <br /> Fr Ze, os ,A S huv ice N, l � Mr✓t in / edeeA, <br /> i 5 A 1JC4har 4es4 Sir; s Were pr; /•iI, "j L <br /> OA )y h ua' arc Sar )Aa'k c/ ncl S ; ,cu 4c a <br /> ce I (e a- <br /> 70-? oil- C,4 4 c c,/l Id,, /! 57 V41;, <br /> Del• IJor 1 yui'Js .SPa iY'/ r-/, s pin X % <br /> ., --Food Safety Certification Facility Hot Water Temperature "„ <br /> Name: Hand Sink: `F Chlorine: PPM eat: .F <br /> Exp.Date: arewashing Sink: of uat.Amm.: PPM er: .F <br /> Received By/Title: vet- C Ay i's"tv-" tr- <br /> H Specialist: /` <br /> ime In: Time Out: G o a Page of <br /> EHD 1624 (2n Pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />