Laserfiche WebLink
,0�4 •.�0o SAN JOAOUIN COUP' <br /> X 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 /> 4��FOR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility:11\ -Lilco wl�'i L Date: ' 1 4 <br /> Address: '�X ' 1 'Poiz Uo 'r 1 City: V(DC4 0-n Zip Code: qG_ A)31 <br /> Owner/Operator: Q 1 ' 4-110 O 1 Telephone: <br /> 1 f�-u�nci5cv � - -4�5 <br /> Program Element: i t Program Record: (00 U--�,}� A 2 Inspection Type: �•i f„vt`�Un <br /> SB 180 Posted Yes No Permit Posted Yes No �`-' Re-Inspection on or After: � <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> dp&e4vPi cx vr" <br /> ) M,ea-1- cdW lvov_awon 5t re. <br /> i�cqel +0 tD6" _ <br /> X11 &CV T . <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: �F <br /> Exp.Date: arewashiR�nk� 'F Ouat.Amm.: ppm Other: °F <br /> Received By/Title: <br /> EH Specialist: PA Phone: QzO <br /> Time in: I :3 Time Out: Page of <br /> EHD 16.24 (2^d pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />