Laserfiche WebLink
" .Q��" SAN JOAQUIN COUN' <br /> �o •. ......c <br /> .� •AG <br /> y-� 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 /> L/FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: JlfteDate: <br /> Address: City: Zip Code: <br /> Owner/Operator: I <br /> LL C_ <br /> Telephone: , f <br /> Program Element: W, Program Re rd: S Insp ction Type: �x <br /> SB180 Posted YW No Permit Posted N pe No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Ite Location Temperature Item/Location Temperature <br /> SLCvix _40j) <br /> n OE M °.tom <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: __ ------- _. <br /> ,+�f Hand Sink: o 'F Chlorine: ppm Heat: nF <br /> Exp.D te: arewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: ' <br /> EH Specialist: Phone: aO - <br /> Time in: VTime Out: Page of <br /> EHD 16-24 (2n'pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />