Laserfiche WebLink
.°...."�.". SAN JOAQUIN COUN <br /> °P. ...0 <br /> a` x ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> �1PORt� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r G1 D LDate: 7 <br /> 7 <br /> Address: a G U 0t 0( n City: qtDcAlL tTrn Zip Code: 61 <br /> G,2U <br /> Owner/Operator: \A O� tC� b G \ n t7 'G Telephone: 9 4_-2 3 3C <br /> Program Element: ��`� 3� Program Record: P G ri G� Inspection Type: <br /> SB180 Posted ❑Yes ❑ Permit Posted _Yes ❑I Re-Inspection on or After:OBSERVATIONS AND CORRECTIVE ACTIONS <br /> C=D iycl <br /> a <br /> sl�gw_ 17 Car \to <br /> Item/t-oeation I Temperature Item/Location Temperature <br /> «_ Food Sal CertifiGatio Facility Hot Water Temperature �� , .. Warewasttin <br /> Name: — Hand Sink: -F Chlorine m Heat: 'F <br /> Exp.Date: �2 I arewashing Sink: 'F IQuat.Amm.: PPM Other: "F <br /> Received By/Title: '� f <br /> EH Specialist: Phone: 4�L6 —30t-6 <br /> Time in: • 0 V, G Time Out: V _ 2 \ 6(0-L6 <br /> J Page of <br /> EHD 16-24(2'1 pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />