Laserfiche WebLink
oP411N SAN JOAQUIN COUOY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.slgov.org/ehd <br /> L�FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 61 AlU71CtI w Date: 7 <br /> Address: /� /3 1 l)0 rC,CL40 City: S f_0 CAG+ty) Zip Code: 5-2-OZ- <br /> Owner/Operator: <br /> vZOwner/Operator: P�PY't /� _ S© .C'� n C_ Telephone: y�5, 5,22.�Z <br /> Program ElementI co: ' Program Record: P p 0 Inspection Type: -11ZW4-i rLR <br /> SB180 Posted es No Permit Posted Yes)IC. �NO Re-Inspection on or After: j���S <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Do Cwo r ft ti4- � 1-2 Q 4I r ry\.i 11�Z 8r" <br /> ZW <br /> ro ilot, I W C GQ-� <br /> d r <br /> Item/Location Temperature Item./-Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm 11 Other: of <br /> Received By/Title: <br /> EH Specialist: O'N^ Phone: n 5 <br /> Time in: 11 ,50 Time Out: �a rJa5 Page of <br /> EHD 16-24 (2n1 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />