Laserfiche WebLink
OWA!N. O SAN JOAQUIN COUi . Y <br /> a` z+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> LIFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility' 160— . (_12 Ll <br /> ` '(11'41 Date: i d-e1 <br /> Address: / n 1 Y I.— City: - ` Zip Code: <br /> ? <br /> Owner/Operator: (Le 0 i`l J (7 T ,w Telephone: <br /> Program Element: Program Record: Q 77 Inspection Type: v� <br /> SB180 PostedYes No Permit Posted es No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS,6,'', <br /> ✓� ��G <br /> s- 1>' 3v - Iii - <br /> Kwk <br /> Item/Location Temperature Item/Location Temperature Item I Location Temperature <br /> / Z <br /> T Food Safety Certification facility Hot Water Temperature Warewashing <br /> Name: jA ` Hand in 'F Chlorine: ppm Heat. of <br /> Exp.Date: �l arewashing Sink: i1 of Ouat.Amm.: ppm Other: of <br /> Received By/Title: , / <br /> EH Specialist: 4L 11 / Ph(ne: WT- <br /> I- <br /> Time in: �_ 1),- Time Out: a Page of <br /> EHD 16-24 (2ntl pg) 11/2/09 1 FOOD PROGRAM OIR CONTINUATION <br />