Laserfiche WebLink
0.Pgq!N.�.COG SAN JOAQUIN COUN <br /> � <br /> Q` 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 /> LI FORD <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ( Date: f . <br /> Address: (✓ .I l� S1 City: "T"ric\ Zip Code: <br /> Owner/Operator: 1. I hone: <br /> h �riw W�-' ^ �- Cc., 9 . Telephone:Waw P g 3 3_18 J' <br /> Program Element: I r L, Program Rec d: S G U 1 Inspection Type: ^i <br /> SB180 Posted Yes 1 bNo Permit Posted Yes No Re-Inspection on or AFRWW <br /> of <br /> fter: <br /> :. <br /> v t <br /> rev de Se I} C 105 ; Xf de 1/;Ccs cr rips irccr'r3, <br /> Correct +v d, <br /> 11 S � � a a 1,; Garner IJ in a <br /> S +Or'a G n d I r\ res IroC CCr 4 .1 1 <br /> ini5K ;A341iIIn 4.r h aCk Zi4of-' rG <br /> Cort c r " a d <br /> r c H k r : r- 4d v en i n <br /> pro D i AQ A i/ a n • C So A is 'p 1,n4rr �s n 3 /y // <br /> Fin :3h i ►� S�Gal �;i. &J Cor ofe f Pr,or- 4d <br /> r—AT, <br /> 0. 4v <br /> Item/Location Temperature Item J Location Temperature <br /> �j r` Very <br /> 'Z_ �. l' 3 • CIO 0 Y- r ouc . itiO � <br /> acr <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name Hand Sink: ` ` of Chlorine: ✓ ppm Heat: of <br /> 1)Itj- <br /> Exp.Date: Warewashing Sink: of Ouat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: - 1 Phone: <br /> Time in: Time Out: 9 Page of <br /> EHD 16-24 (2n'pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />