Laserfiche WebLink
SAN JOAQUIN COU, <br /> � •.00 <br /> X 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: L Q� \ --V -4 `6 t_- <br /> b 0 12,'1- Date: 51_2q <br /> Address: 2v1 q 0 (� City: S Zip Code: 9 S Z0b <br /> Owner/Operator: S ` Telephone: 2-11 �y— <br /> Program Element: `b Program Record' S 1 �` Z^ Inspection Type: vV <br /> VF8O­P­Osted Yes ❑ Rermit Posted Yes F I Re-Inspection on or After: <br /> OMRVATIONS AND CORRECTIVE ACTIONS <br /> L -1- 20 t S <br /> Ste• -��o ,,.��,� _ 13®— _ <br /> Food Safety Certification Facility Hot Water Temperature �— Warewashing <br /> Name \ _. L Hand Sink: 1-Z 'Chlorine: <br /> c. m Heat: F <br /> CNti c F �. , pp <br /> Exp.Date: - 23_ 1� a�ewashing Sink: , .Z�1 of Quat.Amm.: ppm Other. F <br /> Received By/Title: / , <br /> EH Specialist Phone: %-A 13 <br /> _ <br /> Time in: i '2)S Time Out: G Pagetf <br /> G <br /> EHD 16-24 (20°pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />