Laserfiche WebLink
SAN JOAQUIN COU4 <br /> .X ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:wwW.sigov.orq/ehd <br /> q�%FpR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: _/' _ <br /> ddress: ,2p2 Q. -� City: 1,� Zip Code: y - 2 Owner/Operator: l Telephone: <br /> Program Element: I/„ Program Record: f� ©1 ��8 ( Inspection Type: �— <br /> SB180 Posted W Yes ❑ Permit Posted res VI Re-Inspection on or After: ?` <br /> OBSERVATIONS AND CORRECTIVE ACTIONS a <br /> b6erve-d l c n c,in <br /> re jO Ljj& IAr�cLS . (+C1 nd ha" <br /> W �a -L1-e ern -iTZ s )�,S . <br /> 2awr bu r5 Y r-e- C004-o-r r Co La <br /> a.nh 4;L+ o- r Lo wp-r <br /> r 5 h1 n c. r lww t ruse r . Tro V-1'de- ol` <br /> r W� -� r-2V�JQ,s rt t�S % 01M rr�� . <br /> LP_-- 'U1 -e Yh- -e Q_ -e +rC>O ry'1 `S 0 <br /> C w r a_bov,.t._ door <br /> V-0 f J l d,¢. � 5 <br /> We 01;2t on IQOtjn OrF 7C <br /> n a. eae=<r la<!X UcLz 2rov-ick U r b=n S n d- s` <br /> d f48 m OF n 19aA5 4-J-0 <br /> n i n an CIL rX-C, ba5ls 0 <br /> Mr":5 IcoO rs K)CLUS t�J r h,c'n <br /> a.+ cl'tr <br /> W'Ob6 4- er►'rn.,ti 4 b <br /> ►' �]U v F �rTi r -a r � , vc .2- Clot;r r oo o 4p r 7 <br /> -- <br /> ?Temperate _ rature <br /> 12'r-K-05 L4 IT we r:.-3. 40, <br /> Lf i?r <br /> ]CI00Y' r-t P bur F `5 Z a-A- C �� <br /> Facility Hot Water Tempe11 ra11 ture Warewashing <br /> Name: 1 1 : \.. , � Hand Sink: I ��oF Chlorine6 ppm ,Heat: F <br /> Exp. Date: (�t�t IiIJ��S arewashing Sink: I of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: �� Phone: <br /> Time in: 12-! <br /> vVV7C'�� Time Out: 2,1, ` PageZof <br /> EHD 16-24 (211pg) 4,13/13 FOOD PROGRAM OR CONTINUATION <br />