Laserfiche WebLink
'�P Qoo SAN JOAQUIN COUNT <br /> y-� ENVIRONMENTAL HEALTH DEPARTMENT <br /> tll: c a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q.. Nip Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sipov.orA/ehd <br /> �IFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C. E-✓ Vii,i -- a h a -+; i`L I c Date: 1 <br /> � <br /> Address: Ct IV A, City: Zip Code: <br /> Owner/Operator: a 3�1 /V Telephone: <br /> Program Element: O' Program Record: -�� S—"7 / Inspection Type: KVkJ7�t <br /> 8180 Posted Yes No Permit Posted Yes No l Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> dr <br /> ni .o <br /> re yt r, <br /> �u 4/1 <br /> A w-Ud 1 rl <br /> foe Lff <br /> Item/Location i Temperature a&T!Location ) Temperature <br /> uloI L—cam - .3 <br /> Qy <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: J + `F Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: °F Quat. Amm.: ppm Other: °F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page 2 <br /> 7D 16-24 (2od pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />