Laserfiche WebLink
0 411" SAN JOAQUIN COUN <br /> .Z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.orq/ehd <br /> �iFORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: vylar Date: Z_ <br /> Address: Z rG d a\ City: 65-4-0c,.torl Zip Code: q S- 1 <br /> Owner/Operator: Y Y)Q� 1 Mt O K Telephone: a t—` <br /> Program Element: V% Program' Record: P P-0 52(0 $ �3,C) Inspection Type: 20U+i n R_ <br /> SB180 Posted '(Yes Rermit Posted Yes ❑I Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> i r 'b r I GLC,&S O U r7L2 S LQ c <br /> ` y-► 6o4'n 4� rn " use. C.i h+ eQvev <br /> W"41 a y- h4 V•12- r . <br /> C%O VQ r - 5 ro v-c c�.>z. C.D v-e f'o r C.c` k <br /> L > <br /> Y- Lc.)cL�J�n X00 -- a .ems U d e•>r 5 di e-)yeS a r-P <br /> Moo 4 4e <br /> �r ►-tQ • m fie-h v P W&+4-1 e. n --a b o r b e n4 <br /> Ki Ga Dot n e, Corr-e I m p <br /> Item/Location Temperature t Location Temperature <br /> Y h <br /> LLo r Ll VF <br /> Food Safety Certification I,' Facility Hot Water Temperature I Warewashing <br /> Name: Ha V14n4wvri <br /> of Chlorine: ppm Heat: F <br /> Exp. Date: Sink: of Quat.Amm.: ppm Other: F <br /> Received By/Title: <br /> EH Specialist: aM 3(.0 JAPhone: _ <br /> Time in: �.� Time Out: ,r� •t 'L I Page of? <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />