Laserfiche WebLink
au!h, SAN JOAQUIN COUNTY <br /> ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.so-gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Eddress: <br /> : EUProgram <br /> hs/yp� <br /> hl Date: �p o2dlD <br /> ' City: Zip Code:: Telephone: <br /> nt: Record: aS1 ' ZZ Inspection Type Yosted _Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> lie `7 <br /> G77,rv1[ G1 • m �ticcdJ <br /> purl l w <br /> I r A6 rlk -lo n r rl t( �i✓ f S - 7 ' rUvide <br /> T- tura Mem I Location Temperature Mery/Location Temperature <br /> Food Safely CerltR4tian Facility Not Water Temperattao Warewashing - -- <br /> Name: Hand Sink: of Chlorine: ppm ',Heat: of <br /> xp.Date: arewashing Sink: of Quat.Amm.: ppm 11 <br /> Other: of <br /> ceived By/ ill <br /> I'll <br /> Specialist: - P one: <br /> me in: ' :vy Time Out: Pf 10eg !,Yfj <br /> EHD 16-23(2b pg) 07/29109 FOOD PROGRAM OIR CONTINUATION <br />