Laserfiche WebLink
SAN JOAQUIN COLIN <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sogov.org/ehd <br /> �IFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ' U -) L 3 <br /> 1,3-2- Date: A-1��' <br /> ddress: 9-440 S, PhcKtCity: stoc;y'�t r Zip Code: 5z O! <br /> M <br /> Owner/Operator: QF-� C- 0M n U CTelephone: q G s— <br /> I I'C. � � <br /> 3q <br /> Program Element: 11:000 Program Record: CU�o 3;q C�.r . Inspection Type: C$ t/� <br /> l�A n} <br /> B180 Posted F1 Yes El Permit Posted ❑Yes 1❑1�'TJ Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Cc4 q'111 12_ ''Q e G+-Q G�-r- VAC+ Cnl 4(V I . <br /> h(?cu1A i I C4-d1V' R pash tot CC)S <br /> =TvLm-e S r)c) S oa CAP.r -tvwe tA J-1 cc9W oezA °ns' <br /> N o cy- cold w a le r CO- S( i= - ( om <br /> Q sfi S vv uThe'�r k)clndS a CT_at <br /> w <br /> � o Vv h �' Why dot=�►'1 <br /> hu 1&Gr .4�Q cman . <br /> 2:51 a for i n w- - S G . WaW talk--S 1ntb <br /> eLe I C0 1 CAAtkfA_S1-v, i f - <br /> r If oo WIR +♦ Ot 4 fo c-F <br /> Wi a on 1 s o - m P <br /> o�f- h&I 6'\VfC�-\!tj `n�;NCA �c1i11G1 . <br /> -N0h A <br /> Thk Som o cQsc_., \s j u c oS <br /> tEAcos <br /> K� SU h �u�� , w i i n ldfih <br /> CM 94P— <br /> item/Location Item/Location` Temperature <br /> u l?c 2,Lt l-4 t lQ t 6 6 <br /> cuotaR <br /> GF <br /> iMjw', titer Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat. F <br /> Exp.Date: Warewashing Sink: i�( of Quat. Amm.: ppm (Other: f <br /> Received By/Title: / ),A <br /> EH Specialist: Phone: if <br /> Time in: r1 Time Out: r : T Pag f <br /> V '1 <br /> EHD 16-24(2n1 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />