Laserfiche WebLink
°"'" SAN JOAQUIN COU, <br /> H ?< ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . �;., �;�P• Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.swgov.org/ehd <br /> �%FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 1 Date: _ c _ <br /> CC1% <br /> Address: rU,-3 t 1 _ City: Zip Code: <br /> Owner/Operator: `a,,l Telephone: <br /> Program Element rogram Record: Inspection Type: <br /> r <br /> SB180 Posted Yes ❑ Rermit Posted rYeS ❑ I Re-Inspection on or After: �. <br /> N, OBSERVATIONS AND CORRECTIVE ACTIONS <br /> L Ccl di d U, c,.,,^ I JOF <br /> L k) IS <br /> o ' ' ci C 0 01.Q <br /> 16A)n cp)v-p-Y , apo I Lp r <br /> j YV t a brie <br /> n v <br /> no a <br /> I b I X h Gl.Q-a <br /> j S 0_+ 1^ v-t-o rQ qe_ , r e <br /> 1't <br /> "P� o *(' s C <br /> E1 Q "tlroo rn I r'U U-48CLU jirKa <br /> -T'Y� a d.o C e LS nq4 co Ld -I?n <br /> h r a L -h <br /> r a ole r <br /> tkD ®C> 1 coou Z a00 CooL�r <br /> -�I�e rn o rn� �- ro -4_-k4 4-c ue-1-4 C <br /> r� h 10. ro .erYn ,>_� }fi ti <br /> t <br /> a, 1(0 <br /> clan r►>- �.- 4 ��`" <br /> &jjjj " r Temperature Warewashing <br /> "Name: — ,^ 7arewashing <br /> ink: of11 Chlorine. !Heat:Is n ► IQ� PPM °F <br /> Exp.Date: ,�,- Sink: aF Quat.Amm.: PPM Other: �F <br /> Received By/Title: <br /> EH Specialist. c Phone: 3_ �g <br /> ime in: I 16D Time Out: 'O Pag of . <br /> �S <br /> =HD 16-24 (2n°pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />