Laserfiche WebLink
oRattln. s �./ SAN JOAQUIN COUk4,�Y <br /> ?a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c4`leoa+;a. Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Pe4rAr L4 Date: 2/ <br /> Address: �3 /T� C Jf City: Zip Code: <br /> Owner/Operator: Telephone: 54/_,� <br /> Program Element: �a Program Record: Q p Jr b Inspection Type: �u�'AtL <br /> B180 Posted es No Permit Posted C!!) <br /> s No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> VY1 ct I t ✓lC',O O Cp Y c n v co L CL <br /> "2n goVi Ott- 5 hot LI I or 0 r Lo <br /> bk 0.fieAJh k t <br /> coal o <br /> to r ' <br /> oa r-a ems Lei Uj_0-&4e— <br /> r),U+rQ 6l7gj Ue botfitietio v<.P— dt <br /> ' 6 w-r L C4 PZOL a <br /> -- -- I--- - - - - <br /> ® 'Item/Location Temperature Item!Location _ perature <br /> d yoY� fine3 F <br /> --`> <br /> Food Safety Certrtication !� Facility Hot Water Temperature WarewashW <br /> Name: r 1_e I u rI� 'Mand Sink: -.F Chlorine: PPM Heat: 'F <br /> YJ <br /> �warewashing Sink: - - - - ,F JiQuat. Amm.: Ppm IOther.— 'F'F <br /> Received By/Title: A4V4'Lj A/l <br /> H Specialist: c! <br /> Phone: q —3 _/28 <br /> 6/7 <br /> Time in: •e� Time Out: i � 5 Page-.9-1 <br /> EHD 1624 (2^pg) 4/3113 FOOD PROGRAM OIR CONFINUATION <br />