Laserfiche WebLink
_ pou�N SAN JOAQUIN COUK <br /> �o ...........� <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q..... ..a:P Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: IZ S 1 U I Date: R— <br /> t <br /> ddress: 1211 E� • ()ar^ 2 <br /> City: �•.8�J �� Zip Code: J�� <br /> Owner/Operator: a r�C, Telephone: � <br /> Program Element: I /;GI Program Record: r Inspection Type: � 1 `a�n <br /> c� :, 1,UO 1 <br /> B180 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑1 Re-Inspection on or After: <br /> .y . . . . W OBSERVATIONS AND CORRECTIVE ACTIONS <br /> UIV i Ul(y �Z��(:> <br /> -fr ,fie nl c <br /> w 1 S a1v G e in_1W1 11 <br /> 1SSi rr^fn&'r (0 1 a <br /> IM rT Ct U Iry <br /> NU V tSt lQ. cm- «- 171 <br /> StT� rmtiucnr x.12 Chi'.'i.1 <br /> o1 <br /> AX rfu" <br /> c0-Mr ru- p- <br /> W <br /> hoc, ori Facilrty ttc�i. later Temperature Warewashing <br /> Name: Hand Sink: 'F Chlorine: ppm Heat. F <br /> Exp. Date: arewashing Sink: 'F Quat.Amm.: ppm Other: aF <br /> Received By/Title: <br /> EH Specialist Phone: _ I/ <br /> ime in: V Time Out: evL :Ld Page of� <br /> EHD 16-24 (2n'pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />