Laserfiche WebLink
SAN JOAQUIN COUA <br /> X <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> cq.. iP Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.s*gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C C h DIGS A6S Date: <br /> Address: 3 .2 S U / t G 4 City: 1 r c r Zip Code: J�7 � <br /> Owner/Operator: V Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted Yes No Permit Posted ❑Yes ❑No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 1 —L I�►1,n S11 �o ✓ <br /> I - ; t rPl Z f _ !i(�S <br /> Ci I h S b cla �d do 7neC14 W a <br /> r b n ker an d oc r e cr.5 <br /> a m vt ; n I <br /> IZ 0ar"N <br /> 3 S <br /> I W t e 14 <br /> Ure <br /> 4 1. <br /> r e 1 „Wo e s 0 rvl <br /> ar Pro M Ce ; ); K ti;r 1 Monah <br /> 6c) a 1 . n h b : Id- u G • I• in b <br /> o 4e. Aa <br /> G1OIIr lYfaGl� •;��Im I F ! �I /c, • 36 q I F --- <br /> SGn; 1; - fir- � OV G 'l A;r IMG( h;n0 ill P <br /> Item/Location Temperature Item/Location =Temperature <br /> �> 1 ) — J1 Y� <br /> o ►C WGi I < n 7 � F 0. G I�NLl F/_- - <br /> 36 fProo, Ill :n y/''r <br /> L Cirg WG 111-;n - N I'F S a }a Iles W-167. <br /> W l4S'F J40 s 40o,riau h/r <br /> Food Safety Certification Facility Hot Water Temperature Warewashing PIW 3-4�,4 <br /> Name: 10d Ser r-o a Hand Sink: /O a 4, 'F Chlorine: PPM Heat: J60 °F <br /> Exp.Date: 0 �'S Js Warewashing Sink: / 2 'f Ouat.Amm.: 20"U ppm Other: of <br /> Received By/Title: /� ✓� •.,25� <br /> •v6 v <br /> EH Specialist: Phone /!4�•3/6 r <br /> Time in: vs Time Out: CJI I SU Page of 2 <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />