Laserfiche WebLink
o °"'" SAN JOAQUIN COU, <br /> a` ya ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .. �P Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> 4CiFpR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Sha W A.- Date: 11 _ <br /> Address: 1--605 11v eh A 0 City: `1 Zip Code: <br /> Owner/Operator: a JTO Telephone: a� -7 0 <br /> Program Element: I bo ! �3 Program Record: 017 j_2_$ -7 - Inspection Type:Prp _ R nom/ <br /> SB180 Posted ❑Yes ❑ Rermit Posted D Yes ❑1 Re-Inspection on or After: f <br /> OBSERVATIONS AND CO CTIU <br /> Unahle +-o D -r, >, >� yn-E; rec4-'as; <br /> f!Q <br /> k d - uta5 kox L k r L <br /> n 1aSJ1 t cartZI 179-i-w-P.e 'i C S I-ItP <br /> l� iXl <br /> Eaors uriAtr '114C Cd <br /> v-i , N 04 v g +6 5 ha Ll <br /> r YT's_ 6 A <br /> 5 i-t m %A F n C.3 w-e r <br /> �/.P ►-� l Z a o d a r2 not rr+..P ► u'OP : L L 4�r1 Iz� <br /> ►'t G� 'F7� r V,-e 4 W r n-�S <br /> I <br /> r _p n e n.A o cu n <br /> m Y 0 < I-_I <br /> A a -e I Oa»'► <br /> o rn s' --K 6k-a Lk ro �cl4 uj 4h h t LJ wa.-k <br /> me 5 ro Dm s 1 Q ro vti'c6 <br /> a rcz - <br /> p <br /> ItemlLocatsonTemperature Item!Location Temperature <br /> Food Safety Certification Facility Hot water Temperature Warewashing <br /> Name: Hand Sink: U -F Chlorine. ppm Heat 'F <br /> Exp.Date: Warewashing Sink: 1✓ FPpm ',Other: F <br /> i <br /> Quat.Amm.: <br /> Received By/Title: <br /> EH Specialist: / /1 / Phone: 5 I <br /> Time in: Time Out: Pagel of <br /> EHD 16-24 (2ntl pg) 413/13 FOOD PROGRAM OIR CONTINUATION <br />