Laserfiche WebLink
q .0 <br /> SAN JOAQUIN COU <br /> , . o <br /> G� 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 /> Ci ko•Ra <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Y t N p 6`--C, Date: _ .712-) <br /> Address: 4616 O pcuc'4�_L A_j _P_ City: S-1 o 0<0n Zip Code: 9,,X0 <br /> Owner/Operator: S14 J Telephone: Lt-7;)-_ 1?&5 <br /> Program Element: (0 2-5 Program Record: P R OS d $ �3 4 Inspection Type: 8 r�J <br /> B180 Posted Yes ❑ Rermit Posted Yes ❑ 1 Re-Inspection on or After: t� <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> do <br /> 2-)&n L L ® Un's a az <br /> -- Z.P_ a ou` , <br /> A- re et 10AS - mal uh der fe=j c- 17-?A'Zf- <br /> [LS r <br /> as .c de d - <br /> L- r SAO lire_ Cox-12-;•-e--f3 a r-c <br /> Rem/Location to _, Item!Location Temperature <br /> _._.. _ ..__ W W._... _....:. <br /> a door Gv r `�OvF Vve-01 4, So lSD F.. <br /> cloo r ? � �' _ l fib•� <br /> �o d-i s lay l �' t2-) 2 4,,vm r 6- ,4 -- - _ t Of <br /> lhd C� <br /> _ . <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: � !D� � Hand Sink: a� of Chlorine. ppm Hc�tasAW F <br /> Exp.Date: r arevr hin Sr <br /> 1,3f of Quat.Amm.: a o�ppm Other: of <br /> Received By/Title: <br /> EH Specialist: [ Phone: dfp <br /> Time in: - aZ Time Out: Q t`� Page of 2 <br /> EHD 16-24(2ntl pg) 4/3113 FOOD PROGRAM OR CONTINUATION <br />