Laserfiche WebLink
O °"`" SAN JOAQUIN COUK <br /> � P�.'g•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 /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �,1�• vzuAU c Date: kv <br /> Address: + 2 1 ICA City: k tv ick`CI Zip Code: <br /> Owner/Operator: � _{../1 „n C{ t�J 1� �u �C/� C� Telephone: 331 <br /> Program Element: 'r_1-�C�j� Program Record: , Inspection Type: b , <br /> 6180 Posted Yes ❑ Rermit Posted ❑Yes f Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> C�int V\co w) it rot on svke <br /> 0� IV !�5kAe mmit -fcr 2 I=� a <br /> Temperature /tem t Location I Temperature <br /> ..........--.... ............... ......................_......_................................---......... ...._..... <br /> . <br /> ood Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand S11 "Iink: of Chlorine. m Heat: of <br /> PP <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: r 60— ��� �d <br /> �l -Timein: ():« Time Out: ( O. Page f <br /> EHD 16-24 (2ntl pg) 413/13 FOOD PROGRAM OIR CONTINUATION <br />