Laserfiche WebLink
I <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> •.c� _.` ;a Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.slgoy.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Ary( Date: a f <br /> Address: 07 <br /> h City: ' C Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type:/,,� J S. /E ✓ , <br /> 13180 Posted ❑Yes ❑ No Permit Posted ❑Yes El No Re-Inspection on or After;w <br /> OBSERVATIONS WD'Ci3#3RECTIVE ACTIONS' <br /> n 9e d '�' <br /> (A f I a4 re ✓ ;Cweapo 4h S !Fs <br /> i'l U V) -(a C ' 1, Cs V re-o P <br /> .41 <br /> ". ttemlLocatioe�. ' ,Temperature lterri/Lacatinn Tempewa'ture k Item I Location„ Temperature. <br /> Fooda#e Certification Facilirewashin <br /> g <br /> Name: Hand Sink: of Chlorine: ppm Beat: of <br /> Exp.Date: Warewashing Sink: !Z z `F Quat.Amm.: ppm Other. 'F <br /> Received By/Title 1 <br /> EH Specialist: Phone: Z116 d/- <br /> ime in: /6" 0c, l��c• Time Out: Page.of <br /> EHD 16-24 {21d pg} 1112109 FOOD PROGRAM OR CONT1Nt IATION <br />