Laserfiche WebLink
SAN JOAQUIN COUR- <br /> off, ...... c <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .. _ ;P• Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.sl-ov.org/ehd <br /> gG]Fow <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ? Date: Z—0 3'49 <br /> Address: aq City: Zip Code: <br /> Owner/Operator: Y H1fC Y�I. I Telephone• <br /> Program Element: Program Record: Q D Inspection Type: <br /> B180 Posted Yes No Permit Posted Ves No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> r <br /> r <br /> 0 <br /> -3 06 <br /> I <br /> t <br /> A big <br /> OF C.14 LnC <br /> ` 7 <br /> I. <br /> it <br /> 01 <br /> } <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: 19V Hand Sink: of Chlorine: ppm Heat: of <br /> ,Z449 <br /> Exp.Date: 1NY arewashing Sink: of Quat.Amm.: IDIOM] <br /> pm Other: of <br /> Received By/Title: `L <br /> EH Specialist: - Phone: , A <br /> Time in: /�;/ Time Out: C�� Page of <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />