Laserfiche WebLink
SAN JOAQUIN COATY <br /> i ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET, STOCKTON, CA 95202-3029 <br /> J<iFoi3�' <br /> TELEPHONE:(209)468-3420 FAX.(209)464-0138 WEB:WWW.SJGOV.ORG/EHD <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: _ -Q <br /> Address: 71.2 LA-� t Y-11 G,r- 1, City: J Zip Code: <br /> Owner/Operator: ML,L Telephone: 3(o Q <br /> Program Element: Program Record: S I�E1 �)© Inspection Type:F1 nom, r <br /> SB180 Posted -I Yes No Permit Posted Yes ❑ No Reinspection on or After: <br /> Com' <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> k.,fro yon 7pki"I c: kci-r <br /> t i <br /> 2 V- 4- A n <br /> A-i U <br /> 3 C A u'r 01 ,rls 3— co <br /> l.i C-6 KUt u <br /> tj <br /> WOAY Y 0 r- <br /> Item/Location Temperature Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: Ny- w OF Chlorine: ppm Heat: OF <br /> Exp.Date: Warewashing Sink: p_r OF Quat.Amm.: ppm Other: of <br /> Received By/Title: ,� <br /> EH Specialist: �� 1 _ (j I Phone: q53 <br /> Time in: 3C,) r•+-�'�C 4Wi Time Out: .� Page f of / <br /> � = 1 <br /> EHD 16-23 (2n°pg) FOOD PROGRAM OIR <br /> 05/15/08 <br />