Laserfiche WebLink
"°`��" SAN JOAQUIN COUP <br /> �o •..........c <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �;•.., ..�;iP Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ghd <br /> L�FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: St.- C Date: � 1 <br /> ddress: f City: Zip Code:V <br /> Owner/Operator: �S C ti Telephone: <br /> Program Element �� Program Record: 701 H Inspection Type. <br /> o I <br /> SB180 Posted ❑Yes ❑ Rermit Posted 0 Yes 0 I Re-Inspection on ot After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> ti J � > 6 v �� c �w ,(G C + � <br /> r v W1 L ✓ j�`-ir lalt <br /> ✓I'LL /, Alt Vl <br /> METemperature- <br /> e-4t <br /> amec Hand Sink: of hiorine: ppm Heat: aF <br /> Exp.Date: G arewashing Sink: of uat.Amm.: ppm Other: of <br /> Received By/Title. <br /> EH Specialist: Phone: --qUpss/ <br /> Time in: c7( 3 Time Out: Page of <br /> EHD 16.24 (2^d pg)14/3/13 FOOD PROGRAM OIR CONTINUATION <br />