Laserfiche WebLink
"Qu�N SAN JOAQUIN COU Y <br /> y ENVIRONMENTAL HEALTH DEPARTMENT <br /> - 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �Q•... a�P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.orq/ehd <br /> �rFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: h,, —Ur -r S Date: <br /> Address: D C. /1_ � />Y��A City: C��_� Zip Code: 2-o,3 <br /> Owner/Operator: O 5A Y-L- OL (y') 1 4,K6 m Ora l e s --n-e r Telephone:Z p-7.,5 I Cj-4 00 <br /> Program Element:' 3/1O(o 1 <br /> Program Record: Inspection Type:���v� <br /> SB180 Posted Yes NoPermit Posted Yes No Re-Inspection on or After: <br /> u. QBSERVATIONSAN[3 CORRECTIVE ACTIONS <br /> ti ., . <br /> ---- ._ . ..___ ........ <br /> .......... - _ 8 P li 3 O 3 3 <br /> ate. ca-p b�b_ <br /> or — <br /> 1'1'OIli aA- n UA-,a 'r ca. —_.._l wS'e- - -f- <br /> tr'D V-i cte— O, rA kL4- rm o rr,.t_1-c r10 k <br /> r it ,r jQ S.2 <br /> o rut .ter Ct K ' V-e- d !0 0 <br /> Foo db nk ra Y le O <br /> --- _..._....._............__`....._..._.._........._.._—.. -..__.._........_ _— <br /> PrDrot m 140 S Fe•e, l a b — T-- - <br /> Iteltrlocatlatl ematu Iteml.t.ocabon k Tem rature <br /> Food Safety Gertifirntaon , : Facility Hai Water temperature N VI%arewashing 7'' <br /> Name: Hand Sink: I n I of Chlorine: 100 PPM Heat: of <br /> Exp.Date: Warewashing /b,g of Ouat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: j„ _. Phone: 01 <br /> Time in: Q;3 v�wr Time Out: 1,0 <br /> 6 -L- Page of <br /> EHD 16-24 (2n pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />