Laserfiche WebLink
"!" SAN JOAQUIN COU <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> - = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c°�t; aa�iP Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sogov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: -r-a-e,0 S F_C_LA� -Q-, Date: J-o2(p -115 <br /> Address: 9 3 0 s LA City: Zip Code: <br /> rru o� S�b clan aS 20 <br /> Owner/Operator: r eme,el PrL'Cil a 61 pyt 2� �t 2 40�- 5-1 ,3$ Telephone: 17 _O 5 3-2 <br /> Program Element: 1t0 5 Program Record: t, r �I _;j_02 2 Inspection Typ <br /> 65 Y1 Svl iAH fl 17 <br /> B180 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑ I Re-Inspection on or After: <br /> HIM,-A Lk) -2 -awo <br /> Ln I & T P a M `7 F35b(o 2L 1 <br /> t 0n� S (u- 04- v e,1 () C IJGtnW__ a <br /> P tx Ek r5 6 h atk 6e- a <br /> PV+ s vie✓- `Pym b <br /> Y-) OL-12 no OL'; (u_Io-F�i rov-2 d.� 44 .512--7zz <br /> r L 4b l <br /> roICE, a-t <br /> o d, w� ,�r C.e.✓-h'-�; cam. �t ►' �►.� ►' b !o d a a <br /> . IL +0 wasue n + o-n qr - i.�s aid <br /> o rw►r� �l0 3 5 'F.�.� � �o a'�— <br /> a. ,, ItemlLocatior►, , Temperature Item t Location Temperature <br /> 9 1°F <br /> msti Safety Certification Facility Hot Water Temperature; , Warewashing <br /> Name: Hand Sink: 120 of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: <br /> 1� of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: L Phone: <br /> Time in: C7 'I Time Out: Pager of 1 <br /> EHD 16-24 (2n1 pg) 4,13113 FOOD PROGRAM OIR CONTINUATION <br />