Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: (-\G ; Date: I — 2—1'0— 1 <br /> Address: i O cl� /r , City: rCJ` Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> S6180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> C v S l 2 "-1 A-�- - VCA; <br /> -L <br /> ISZ <br /> item/Location Temperature !� Item 1 Location Temperature <br /> --�� 1 ----- --- - - --- -- ---— <br /> Food Say ., ,Facility Hot Water Temperature warewashing <br /> Name: Hand Sink: F (Chlorine: ppm Heat: 'F <br /> Exp.DateWarewashing Sink: of Ouat.Amm.: ppm Other: 'FSink: OF Quat.Amm.: ppm Other: of <br /> Received By/Titl <br /> I h rr in L--- <br /> EH Specialist: Phone: 'A 1.. 1 <br /> 6 — <br /> ime in: I OM Time Out: � Page 'of ' <br /> EHD 1624 (2-pg) 4/aV3 I FOOD PROGRAM OIR CONTINUATION <br />