Laserfiche WebLink
a¢n`t'" SAN .10AQUIN COI. 'Y <br /> )• '.OG <br /> a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c... t :P• Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.slgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: d0 d 1 r rnQ r-1 Date: / -/?-/y <br /> Address: t(0 3 O \ �G�{50� +, City: f-0r'1 Zip Code: q 5 20 <br /> Owner/Operator: 5 A Telephone: 9(4 8_ 8 '7 6 2 <br /> Program Element: .L$ Program Record: P Rp 5�.�— ( Inspection Type: v�Aue _ <br /> SB180 Poste Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Ort a,3 <br /> - w-�-�K <br /> aK cz r b_0c_4 vh CLP v P- <br /> 200 2D0 �rI <br /> Item/Location Temperature Item 7 Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> --- <br /> Name: C-f �� � and Sink: �1 y nF Chlgrin :� �r �0Oppm Heat: ea-/of <br /> Exp.Date: _l W ew�shing 'nk: / of Qu .`Amfr�.: Uvppm Other: of <br /> Received By/Title: <br /> 1 <br /> EH Specialist: Phone: 95 <br /> Time in: •/ Time Out: /011 <br /> O / Page of <br /> 73�— <br /> EHD 16-24 (2n°pg) 4/3/13 FOOD PROGRAM DIP CONTINUATION <br />