Laserfiche WebLink
SAN JOAQUIN COU( ' <br /> a ?a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . cq.. ;P• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sogov.org/ehd <br /> L%F ORt� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: R all bUr`D M'atl- w lr�_e.t– Date: 6 11411 <br /> Address: 'lC) . 1 1 17ack4d gt City: StvL�-fiz1 Zip Code: /t 2-0?2 <br /> Owner/Operator: P( lR�C) CA� t Mn6 SCD oR.�Q Telephone:�'t -t <br /> Program Element: T� (10(q Program Record: PRO1 foo +4 Inspection Type: <br /> SB180 Posted Yes i No Permit Posted ❑Yes []No Re-Inspection on or After: <br /> OBSERVATIONS <br /> AND CORRECTIVE ACTIONS <br /> �11 V 10 IDI�CIC�S C�e�er,1 _ <br /> �It Mcil` on 1 u& N3 flies and none - n orel <br /> Item/Location TemperatureItem/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> ----- --- ------- ---- .._ ....._--- <br /> Name: Hand Sink: of Chlorine: ppm Heat of <br /> Exp. Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: 2—q- A 0(j –_64 4 6 <br /> Time in: v Time Out: Page lof <br /> EHD 16-24 (2°d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />