Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> :. ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET, STOCKTON, CA 95202-3029 <br /> TELEPHONE:(209)468-3420 Fax.(209)464-0138 WEB:WWW.SJGOV.ORG/EHD <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: O D O <br /> Address: J?? �" City: Zip Code: vAl D <br /> Owner/Operator: J Telepho� <br /> Program Element: Program Record: —�� �,/ Inspection Type: <br /> B180 Posted es No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Item/Location Temperature 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: , rewashing Sink: OF Quat.Amm.: ppm Other: OF <br /> Received By/Title: 4 <br /> EH Specialist: ` Phone: <br /> Time in: Time Out: <br /> '914 <br /> 6, Page of <br /> EHD 16-23 (2nd pg) 8/14/08 ' ✓ FOOD OR CONTINUATION <br /> 08/14/08 <br />