Laserfiche WebLink
SAN JOAQUIN COI -Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.slQov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Q CT Date: _I -13 <br /> Address: O PezC.+ <br /> Address: *609 <br /> LJDQ-5 T City: cS +„0 � Zip Code: 95, <br /> Owner/Operator: yi 4C YT <br /> r i--.e-s <br /> Telephone: -q,6 �q 3 9 <br /> Program Element: UP 13 Program Record: P R O I (0259 LInspection Type: � w � �- <br /> SB180 Posted XlYes ❑ No Permit Posted XTes ❑ No Re-Inspection on or After: 1� <br /> ITW _4er T 7 �s h o t o <br /> r �r <br /> r-50ncv-fA"-N tni l h-e_ <br /> Item/Location Temperature Item/Location Temperature <br /> ' I <br /> riSQd2,Gadoor e / 39 <br /> - - - - ---- <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: J of. lori } a0z) ppm Heat: of <br /> Exp.Dated / _ Warewa hing Sink: j eF at Amm.: �w% ppm Other: `F <br /> Received By/Title: ,I�/' <br /> EH Specialist: / / Y Phone: �-7 <br /> Time in: / ` l Time Out: l Pageaof c� <br /> 7D 16-24 (2nd P9) 4/3/13 lT FOOD PROGRAM OIR CONTINUATION <br />