Laserfiche WebLink
SAN JOAQUIN COUN' <br /> 2r ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .. tr Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sagoy.org/ehd <br /> ,CIFd�rN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �— Date: / <br /> Address: /_ G/ city: Zip Code: C].c <br /> Owner/Operator: A C Telephone: /✓ <br /> Program Element:f/ � Program Record: p / ^aa Inspection Type: <br /> 8180 Posted Yes No Permit Posted Yes No 7 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> � t <br /> / r <br /> or <br /> f "..0 i <br /> cl' T _ 37. �1W_ <br /> y <br /> A <br /> y� F IC <br /> �7 <br /> Food Safety Rification Facility Hot-Water Temperature Warewashing' ,, ,..MIT"M <br /> _„_..w; <br /> _ __.. .._—_ —_..__.. _._ne _______ <br /> Name: may,/l � Hand Sink.__: /h�� .F Chlorine: ppm Heat: F <br /> Exp.Date: Warewashing Sink: of uat.Amm.: Ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> ime in: /O. Time Out: /a . Ps of <br /> _j <br /> EHD 1624 (2^ pg) 4/3113 FOOD PROGRAM OF CONTINUATION <br />