Laserfiche WebLink
SAN .JOAQUIN COUNTY <br /> y-+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.si4ov.org/ehd <br /> '�CjFOftl1 <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility:�" C_ �- Date: —� <br /> Address: 2` ` 1 1 -1'h #� City: T Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Pr gram Record: 'S 2-2—(OS <br /> Inspection Type:IS <br /> B180 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> S y " � <br /> 2 f 2 <br /> r' r\ <br /> r e ze,. F' <br /> V2_1 r <br /> �w emperature <br /> �1 = 2 A,,- r 99 J - u S <br /> O 2 ' <br /> 3 - 2 <br /> 12 � — <br /> Food Safety Ce ificati nFacility Hot Water Temperatur Warewashing <br /> Name: Hand Sink: i 'F hlorine: l LpmHeat: f <br /> Exp.Date: arewashing Sink: 'F uat.Amm.: Other: 'F <br /> Received By/Title: 1 <br /> H Specialist: Ph ne: - 2 <br /> Time in: \0 k ` Time Out:_1 2 .— J Page t of <br /> EHD 16-24 (2otl pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />