Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> L�CpG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> b: :< <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> �l Fb'RN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: '� MA ..t� Date: 3 IL' <br /> ddress: �y, \ACity: .,;'t—yyy-Fi�� Zip Code: <br /> Owner/Operator: Telephone:56c4t) <br /> Program Element: 1 U/1 Program Record: 0000 5t7� Inspection Type: w G� I <br /> SB180 Posted Yes No Permit Posted Yes 1. No IJ Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> (w IGi 6 re a U 1 <br /> -o - c i und Qas eP�n e <br /> or, I <br /> f c iU waS <br /> r cW- CW m <br /> - P11 ud r of A I� rr be <br /> x S Caro✓ )l1car <br /> rer - <br /> ur2 hL* WC+VT _T i- IZof-_ ar <br /> nd geA M +ve 1 ir_ CX_ 1;• <br /> It vS C�- to . <br /> vJ M ec.�i- t in IF <br /> VOA'i MC/G a t- lliNok I K t F <br /> , dW clxkar CDeA t <br /> 1%rA lk i n eA.1 1 F <br /> aci ester Temperature r. <br /> Name: Hand Sink: `F Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: of Oust.Amm.: PPM Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> ime in: 2-.49— <br /> . 9— Time Out: , tU�' lJPage of <br /> EHD 16-24 (2n0 pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />