Laserfiche WebLink
"aur" SAN .JOAQUIN COU Y <br /> )��!�CGG <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 /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r. e ' Date: <br /> Address: -�. , r City: Zip Code: <br /> / �1 S <br /> Owner/Operator: -4 �a-o r rn A Telephone: t.0 <br /> Program Element: Program Record: 5 C o Inspection Type: S�i �� <br /> S6180 Posted Yes V41,CA Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS ANL}CRRECTIVE;AO7�ONS <br /> ----- . ---`1)9 D - - --......................_..._...._..._....._.... <br /> --- _............_.--it --- � *� P i a ►� R '3 5 D 19 9 r <br /> _._. _...._.......__._........ - ----- -- —------ - -__... <br /> ___r o..,,-,.........- Cel — r - a...�.. ................ r -�-u',' ....�._.r <br /> A7 �A e r ®,c Jr-1-i fi cam, i �e c� • —Pie ne...w�---.- <br /> 60 0 cl <br /> V- air b <br /> o4 wo r b <br /> V2 Co r>1 r --t ' Or fi t r r e c <br /> C)b+m'� r-k-A . <br /> .......... _._ _. ......_. ............._-...___..___........_....... <br /> ------- <br /> p -1D �6.5U-e- IN Yrrn4'-f eync e. -F .e d - <br /> h1 r Yl + 0 cam- lLe <br /> � �-eG)inpeYZr-a�tOure' <br /> ._..f...t. <br /> YoC ✓Yl 1(e'6 _4-P- �lL--o-c.a_..t...i..o_._nItem/Location _. <br /> Temperature <br /> boX . 4j <br /> d- _ <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: r`' ofChlorine: 0 PPM Heat: °F <br /> Exp.Date: A Warewashing Sink: ! *F Quat.Amm.: PPM Other: -F <br /> Received By/Title: <br /> EH Specialist: aM G Ju41 Phone: <br /> I _ __ 7 <br /> ime in: ,•1 Time Out: iO� � Page) of <br /> EHD 1&24 (2n°pg) 413113 lJ FOOD PROGRAM OIR CONTINUATION <br />