Laserfiche WebLink
SAN JOAQUIN COUN� <br /> •.OG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ;p Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: NSC �� —s U Date: k4_ `— 5 <br /> Address: ,20 5 S' City: Zip Code: <br /> C <br /> Owner/Operator: SG cn 0 �f_'\ Telephone: <br /> Program Element: 1 b2 'Program Record: 5 .� J Inspection Type:V <br /> 1"VV <br /> 6180 Posted Yes ❑ Permit Posted Yes F I Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> aLl <br /> e ` '. S9 <br /> Q <br /> 3 M 'ten - <br /> O\Ar '2 \ C <br /> ("tee 'a2 2 <br /> 2 Ce Ln' <br /> \ S -E- 1 <br /> Z \ �Q <br /> voSq <br /> �— <br /> �...�e , ,.r ocation TemperatuM< =lie 1 Location -.... Te(#1 nature <br /> �f � <br /> =_-- - <br /> Food Safety Certification !i Facility Hot Water Temperature Warewashing <br /> Name: \_ c G\ ` IlHand Sink: , v,� 'F 'Chlorine: ppm 'Heat: °F <br /> Exp.Date: _.Z 1 ar washing Sink: of Qu:t.Amm.: kA%�� ppm Other: F <br /> Received By/Title:i\ m r e l- <br /> EH Specialist: '�f V Phone: 1 GL_� 2r-� <br /> C�Dka <br /> Time in: l�, Time Out: ,,5o Page:2f 2. <br /> EHD 16-24 (2n1 pg) 413/13 FOOD PROGRAM OR CONTINUATION <br />