Laserfiche WebLink
SAN JOAQUIN COUN� <br /> .Z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> �lFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: MC�w ukkc Date: <br /> Address: ,�L MUry-et City: CvfiG�. fi(� Zip Code: 2(�2- <br /> Owner/Operator: Mr,� M Q1 ck r( Telephone: <br /> Program Element I �(_ Program ecord: t7 >� C � Inspection Type:;5 <br /> SB180 Posted ❑Yes ❑ Rermit Posted 1� ❑Yes ❑ I Re-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> ____ <br /> Temperature i� 11.Lat�t� Tempera <br /> �� <br /> to <br /> --- <br /> d Safety Certification Facility Hot Water Temperature Warew <br /> Name: -rte Hand Sink: Chlorine: Heat: <br /> 1 In(�l ��� t -F 'Chlorine: of <br /> Exp.Date: (_/ arewashing Sink: of 'Quat. Amm.: ppm !Other: of <br /> �U <br /> Received By/Title: <br /> EH Specialist: Phone: o U ,1 _ .4 b(j _ r rj <br /> ime in: �J Time Out: IC w 7 Page�of <br /> 1 <br /> EHD 16-24 (21 pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />