Laserfiche WebLink
OSAN JOAQUIN COATY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET, STOCKTON, CA 95202-3029 <br /> • P TELEPHONE:(209)468-3420 Fax.(209)464-0138 WEB:WWW.SJGOV.ORG/EHD <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: C3 _C e <br /> dlX <br /> Address: —7�b /� l � City: Zip Code: 'q 5;1- Z <br /> Owner/Operator: ,, Mei, Telephone: 34 —q <br /> Program Element: I(p01 J . , Program Record: S Off` Inspection Type: <br /> SB180 Posted L'.Yes ❑ No Permit Posted ij Yes C No Reinspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> +yL�-n— d2 <br /> 4� L►-1 <br /> a+ lids i NK <br /> 1 <br /> Item/Location Temperature Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: aF <br /> Received By/Title: . <br /> EH Specialist: v� Phone: <br /> ime in: Time Out: Paget of/ <br /> 2 <br /> EHD 16-23 (2nd pg) FOOD PROGRAM OIR <br /> 05/15/08 <br />