Laserfiche WebLink
Po��N SAN JOAQUIN COU Y <br /> y ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> cq..., ••..app Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> �/FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: _ Q r Date: _1 <br /> Address: -1 5 1 Q c-�-f C- City: C-Ae—+'0 n Zip Code: ;1-0-7 <br /> Owner/Operator: YyL0_"Jt Telephone: 5 I - <br /> Program Element: L(o Program Record: C,000 3Q1-7 q-5 Inspection Type: /�O l�^� <br /> B180 Posted D Yes ElRermit Posted F-Yes ❑ I Re-Inspection on or After: �- <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> o 0j a+t r a n d n o-hf c._cl -0-Le- <br /> C, <br /> ✓ 'i 'S r-e. do <br /> -�- <br /> �-h s61-C110 - <br /> 01c_. 4-p -t"a r7? r� k.4 w w Y--l- CD <br /> U-3 a b a4- C4 rr..e i b©Y--e a <br /> CA-) f co a 2 ` L to 7 5 Lo e_' NS <br /> h o .,e � b cLe <br /> Ohl IX 1 0► ( I'o ri b n�2 <br /> 01 fi h -e <br /> Co r rze� r _�Cx-P S G r••G <br /> Y_ V1_0 YL.-p- GA <br /> La ci vt Q, bn ht- IvYs - <br /> Itemll»ocation Temperature Item!Location Temperature <br /> z <br /> > _ tett Facility Hot Water Temperature Warewashing A „> <br /> Name: Hand Sink: °F !Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: 'F Quat.Amm.: ppm ther: of <br /> Received By/Title: <br /> • �v'v 0 <br /> EH Specialist: !_ _ Phone: <br /> Time in: Time Out: I ; n Page of <br /> r V <br /> EHD 16-24 (2^'pg) 413/13 FOOD PROGRAM OR CONTINUATION <br />