Laserfiche WebLink
SAN JOAQUIN COU•Y <br /> P <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> -= 600 East Main Street, Stockton, CA 95202-3029 <br /> �;..• J...•;p Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ,7i `R„,r-. C Date: 7 (., <br /> Address: ( lX 1 ' �w `t City: L Zip Code: <br /> Owner/Operator: Telephone: <br /> (,yam �- <br /> Program Element: GL Program Record: Inspection Type: <br /> SB180 Posted Yes '_ No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> LAZ <br /> vv�Gt 1--eat G a - <br /> o� <br /> Kik eccff” <br /> Qt pi. (t,-w-aj rlu <br /> V ��LGt 7�a-vl-t <br /> GECGi I✓ <br /> PU <br /> W( r-tChuu`, <br /> 1�1(t ViZkrce ✓M64 �'a4- v) - <br /> 3e-qtf:�- <br /> SC14 r►e °F <br /> der 1 V W9 Q OtTI-1 !r a f h <br /> SQhti h c I��- PJ. Yh <br /> vl uv%ki <br /> Ite Location Temperature Item/Location Temperature Item/Location Temperat <br /> Iure <br /> C t h 1'- f u 4 Gtr . /p-ln 1 <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: v Hand Sink. of PP <br /> Chlorine: m Heat: `F <br /> Exp.Date:_ 1 Warewashing Sink: 'F Quat.Amm.: ppm Other: 'F <br /> Received By/Title: <br /> EH Specialist: Vwtr�L` Phone: <br /> Time in: Time Out: Page of <br /> EHD 16-24 (2m pg) 11/2/09 FOOD PROGRAM OIR CONTINUA ION <br />