Laserfiche WebLink
SAN JOAQUIN COUN'. <br /> �o. .coG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s44ov.org/ehd <br /> �/FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: l C - -rzuLk + �, L Date: <br /> Address: 2 ,qG S p6 c ozi City: &10 _VCM Zip Code: ry o - <br /> wner/Operator: \AQ�G Gc- n -->, <br /> &10C* <br /> Telephone:2) G - LPW;_ <br /> Program Element: '"l k0UC) Program RCecord: CC)OC) <br /> , I 4,6C Inspection Type:('OMv Qin '-1�h <br /> B180 Posted ❑Yes ❑ Permit Posted ❑Yes ❑I U Re-Inspection on or After: n <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> F t <br /> \Naa c inn m5UQ, \xu_i- <br /> 0- war .�h r v _ covre J m <br /> rds�nk ds v \X Th � � . ,e& 0 nS; e - <br /> �� <br /> 1S nl 4 <br /> TbeTz Cir.-e n u nAPAr U -"Q Tb-0 -V-P-UCA . <br /> rM' j nd o ce I R'r�- rup,fin . vJ in 0 OwS G1-_ <br /> c,clv roe hs - we F o -nrn is(Q s car ez-ix S <br /> -t zU t s a1r S1 h\c- ccmecAed C)r\ <br /> ; ITLQ S;' �r&c."h` rxP_ (JoOs r U <br /> auk)Ma ki c VF- <br /> frte, . , 1.0t coy to <br /> ItemtLoea tionTemperature; <br /> afety Certification Facility Hot Water Temperature e <br /> Name: Hand Sink: of hlorine: ppm eat: of <br /> Exp. Date: n Warewashing Sink: of Quat.Amm.: ppm ther: of <br /> Received By/Title: <br /> , i <br /> EH Specialist: Phone: act— `T- <br /> Time in: ; s } Time Out: f ` Pagel, of <br /> EHD 16-24 (2ntl pg) 4/3/13 I FOOD PROGRAM OIR CONTINUATION <br />