Laserfiche WebLink
SAN JOAQUIN COU <br /> 4 �+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> - 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.or /q ehd <br /> <<FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: City: Zip Code: G <br /> Owner/Operator: Q Telephone: <br /> 4' 7 90 <br /> Program Element: / /fie Program Record: D Inspection Type: 4Q t;� <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> _ u n do r i�'i.�as;�-j'1 coo ICA'n r e c-�-t' m <br /> A <br /> '..................ejn_. <br /> 0 p I.;L C7 - <br /> ED rr4_e4-c� <br /> Item/Location Temperature .. !tem/location Temperature <br /> t <br /> 6N8 f♦ct�trl Facility Hot water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm 'Heat: `F <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: - Phone: <br /> �- <br /> Time in: Ito , Time Out: Page lof / <br /> EHD 16-24 (2n°pg) 413113 FOOD PROGRAM OR CONTINUATION <br />