Laserfiche WebLink
SAN JOAQUIN COUN' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _= 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> �ikoaa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: I 1 �r-• �n City: �C Zip Code: �S Z I U <br /> Owner/Operator; t%jor - lCal acl S 3-- c, Telephone: <br /> Program Element: 16-2� Program Record: O�I / X Inspection Type: <br /> S8180 Posted s No Permit Posted KYes No Re-Inspection on or After: K <br /> ..; <br /> �e� ✓� D 6l�1 SF O(/'( <br /> o �eS <br /> a c -Qa c l�se� co i <br /> Cc <br /> Item/Location Temperature Item/Location ,T Temperature <br /> - — — <br /> o Gev- /-E i 3Zi <br /> Z rx�,or p nzP <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: S v��0 pr, Hand Sink: ©U,r- of C lorin /� Ppm <br /> [Heat: F <br /> Exp.Date: are hing Sink: 1�� of Ouat.Amm.: PPMther: of <br /> Received By/Title: <br /> EH Specialist: 4y` Phone: %-?3Lf41�- <br /> Time in: 2 Time Out: 3 !Uo 1 Page2of2., <br /> END 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br /> t_ <br />