Laserfiche WebLink
,oPa ,.�o� SAN JOAQUIN COL' -Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sjgov,org/ehd <br /> CIFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: 1/1 City. Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: d- Program Record: a c�/. Inspection Type- <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> C� <br /> ,.; OB$ER"TIC}NSAND CORRECTIVE ACTIONS. <br /> - �tx <br /> TJ MA 4 <br /> rZ/lf� <br /> vtA' - p kv Coy 4W4,616W <br /> Gbh <br /> " Item/Location Temperature Item!Location - Temperature <br /> rt <br /> Ato <br /> C-:t1 Iry <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: y.�l— 'Infy� Nand Sink: F Chlorine: PPM Heat F <br /> Exp.Date: �1..,?116 1W arewashin Sink: of Quat. mm.: PPM Other: of <br /> G �IlC1 <br /> Received ByITitleh <br /> EH Specialist: Phone: <br /> Time in: ( Time Out: ) Page-10-f <br /> e Ab <br /> EHD 16-24 (2^1 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />