Laserfiche WebLink
oP°'"'"• o SAN JOAQUIN COUNO <br /> x�e..�a'•.o <br /> z <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> gid..•, 9,..;P Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sioov.org/ehd <br /> �iaoa� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: P0V4n -�e _ Date: 9L 10/ <br /> 14- <br /> Address: �O N , Su City: s-toullLtop Zip Code: q!5202_ <br /> Owner/Operator: M Q n cart Telephone: (QU oe(Ap <br /> Program Element: I�o-24 Program Record: C)5U }}.4 Inspection Type: <br /> SB180 Posted Yes C No Permit Posted !Yes 7 No Re-Inspection on or After: <br /> RE ' ACTION <br /> COo S stvgej W- ftOM �UPR, ISO- 41OF Or <br /> be w toda -n t otd cJw w &WES nood lQS <br /> WefP- cwwo q-f q " iia . <br /> 3F re- erAion vrt S <br /> id¢ G San t - buc,�-�-t- i o w� i cldfi�e - I od m <br /> foo dS on �4W. <br /> 3 ILC SCoo S-VbK4 ar Of \CQ� \naCbine . Mre 1tK1c�4 G <br /> CA¢ RMW, cunt `hila <br /> fire, S rutr cg6ItL2 �ac. C1 lo+- O S bu�lol <br /> 5 area . uwr\ -Fodor <br /> and <br /> ro CUz f\t= �s rod amid i:—W\ -V06 <br /> •s o l u rrt,ed i- 2 arR l(n Wang_ -S <br /> S e �ns�� i Ca'r2v1- fioaa. <br /> Rw�de C. )ICAi sEP-,PS it VYpe*- <br /> a dr Greerg Viorbi bcf a dr TRwz 01; la 3b`F <br /> SiWd tW(AiW—S ,M6r 3S`r- <br /> co0w Wwakc 900F <br /> ,all dr WSu \e) �l°F <br /> Name: Cha_.tct 1 Hand Sink: nil =F Chlorine: �� ppm Heat: <F <br /> Exp.Date: Ifx0/1 <br /> 1} T IWarewashing Sink: i 2.-CC) of Quat.Amm.: ppm Other: of <br /> Received By I Title: V <br /> EH Specialist: - Phone: nlln 44-( <br /> !me in: 1().,? Time Out: \\ t 2� � Page2of2 <br /> EHD 16-24(2n°pg) 413/13 - FOOD PROGRAM OIR CONTINUATION <br />