Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> a ' ENVIRONMENTAL HEALTH DEPARTMENT <br /> P: �1 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org///eeh^d I1(�� /�. <br /> 9t%FOPt� sk-p Y l 'e- <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT, <br /> Name of Facility: \ 0 q , Date: 10-2-9-1 <br /> A <br /> Address: -Z'-A City: —�. C Zip Code: p1 S�V <br /> Owner/Operator: \ C ✓1 LLC Telephone: <br /> Program Element: 1�.Z ` Program Rec S2_ 1 bc? Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 16. <br /> d.+- he 1 <br /> — <br /> 4-� <br /> 2 t <br /> rIQ <br /> i <br /> �2 Q'F <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: \ [Hand Sink: 'F Chlorine: PPm Heat •-F <br /> Exp.Date: arewas PingSink: ,n of uat.Amm.: ppm Other: of <br /> Received By/Title:(�' k+ / N(� t 2 FT7 <br /> EH Specialist: V r w 1 - - Phone: __i b b V�3 <br /> Time in: ,• S Time Out: 2 .2-` Pag y <br /> f <br /> EHD 16-24 (2m Pg) 4/3(13 FOOD PROGRAM CIA CONTINUATION <br />