Laserfiche WebLink
ofgk!.ry.,s SAN JOAQUIN COUNTtt -' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •,. Telephone:(209)468-3420 Fax: (209)464-0138 Web:www Si ov.ora/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> In Date: _ q-12 <br /> [Name of Facility: ( + &r C re rrl a r i —r- O Zip Code: C�5 $ 2 <br /> ress C1 Sk tv I fP rer/Operator: Telephone: <br /> gram Element: Program Record: Inspection Type: c>n 4n8O Posted 0 Yes 0 No Permit Posted ❑Yes 0 No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> F( e <br /> 1� h S .i J! j � aW <br /> rov ; ¢ hC, ;r o Ira +,+_C - Lr arPF O /N OoS . m Ove. lP -u C fYr W I j h Olr ; ceg C -'� <br /> C' <br /> 4 � rCf C O&L 10 ,de Is toP, w 1 ctic <br /> r / / r (n <br /> ir\ h C n C4 r% c r 0)X eP <br /> fir '7C C' 6/c, <br /> 6 IlaAl- S. ) gin r cJ1 O CP r . cct <br /> 7 h ;_S GC � ; 4O F <br /> ci;,i r)c _ of\ <br /> 910 <br /> Z. atum 4 „, Item/Location a rat, Item/Locatio <br /> Food Safety Certification facility Hot Water Temperature Warewashing <br /> Name: c 11 s Hand Sink: /u C� of Chlorine: ppm Heat: 1 of <br /> Exp.Date: /Y arewashing Sink: /� of oust.Amm.: %i ppm Other: !l aF <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: f� Page f <br /> l: 2 <br /> EHD 16-24(2i°pg) 4/9/12 FOOD PROGRAM OIR CONTINUATION <br />