Laserfiche WebLink
SAN JOAQUIN COUNT" <br /> Q` ENVIRONMENTAL HEALTH DE, \RTMENT <br /> W X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.slgov.org/ehd <br /> 9LlFORN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S� L 77 .�77 47775 Date: l2v'7" <br /> Address: Ab�; ( S �W cp r City:�'Tn."Ivn Zip Code: /t <br /> Owner/Operator: r � C����G! V �� Telephone: "1 3 <br /> Program Element: i(QUG Program Record: C 6 06 3 Inspection Type: CC Mj kAI n t <br /> V61-80 <br /> Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> C Ic n� s ez y4aS 9 c)v- o Irl 6 mck nG wa, <br /> olek e o bone . <br /> t kapuqff 1hav G \(40 i SNc)� C h a <br /> G - to Wo C � i� v 1 M 04e_t <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: PPM Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: PPM Other: of <br /> Received By/Title: . / Ulu <br /> EH Specialist: Phone: n L /_Ob <br /> Time in: '? .5 Time Out:��l/i 0� �P Page of <br /> EHD 16-24 (21,pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />