Laserfiche WebLink
SAN JOAQUIN COUN <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c... - ;P• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s4gov.org/ehd <br /> 4CjF•ORi� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �J�f+,� /"� x/ , F,',/ Date:1c,14-314 <br /> Address: DO�ep�; �f� City: - �� Zip Code: �.� v('" <br /> Owner/Operator: ,2 r e5 e_� Telephone: <br /> Program Element: 2_ Program Record: ` Inspection Type: [�L it'�G`1 <br /> 8180 Posted e� No Permit Posted � No Re-Inspection on or After:/j�1 <br /> „ OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Is 44!_ Go ays <br /> c <br /> /au O /�eC'o-st•nte.•�L7� C�' q�os-,�.� 6t�J <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: C, o of Chlorine: /C"0 ppm Heat: 'F <br /> Exp.Date: Warewashing Sink: 1�� of Quat.Amm.: ppm ther: 'F <br /> Received By/Title: <br /> 1-v v <br /> EH Specialist: Phone: <br /> Timein: Time Out: Page of <br /> EHD 16-24 (2nd pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br /> I <br />