Laserfiche WebLink
SAN JOAQUIN COUN) . <br /> : z 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 /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: !M S O Date: 6 /17 <br /> Address: City: b Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: ' O 2 Program Record: O0 --T L-t`3 I Inspection Type: <br /> k <br /> B180 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑ 1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> -I , ' L�-A <br /> , � . ✓iv <br /> 2r i/4c ' z11 r <br /> or ' <br /> t <br /> Oro <br /> r <br /> s <br /> i o <br /> r <br /> P <br /> S cvv��� ZEDP PA { /00 PP n\ r C o►'r►al, <br /> o` <br /> LA)4 <f atv_T <br /> Item/Location Temperature Item 1 Location Temperature <br /> Food Safety Certification _._ Facility Hot Water Temperature Warewashing ° <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp. Date: arewashing Sink: of uat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Cyt Phone: <br /> Time in: ,l Time Out: / �V Pae of <br /> EHD 16-24 (2^'pg) 413113 1 FOOD PROGRAM OR CONTINUATION <br />