Laserfiche WebLink
SAN JOAQUIN COUN <br /> 2a ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: :< <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sagov.org/ehd <br /> LfFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: U NA X 1 (f r �_ .1_1�--U i t -1 1 W Y Date: 7 <br /> ddress: �I City: 5 t-� Zip Code: <br /> Owner/Operator: Ck Telephone: <br /> Program Element: �03 C� Program Record: �r G r-�?j-t-cj 3 C5 Inspection Type: (\S eek-,c1 <br /> K8_0Posted ❑Yes ❑ Permit Posted ❑Yes ❑1 Re-Inspection on or After: <br /> OBSERVATIONS AN©CORRECTIVE ACTIONS_. <br /> & <br /> . <br /> v i ulGticlriS ccrY-re.c�le fi <br /> U ;Sno-k- O-Q. C wt k) 1 e. C u <br /> 3 _p1e C ilei CA()Cir z <br /> Cu r l oPc <br /> g �dt oll &inpkoaes � axe a vccd h n LQ,,; mo <br /> P$-�IiG Ott Sin Qs �ass�hl,� <br /> Item/Location �Temperature � Item 1 LocationTe rature <br /> 11 pi <br /> Facility Hot Water Temperature ( Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: 'F <br /> Exp.Date: Warewashing Sink: 'F Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> G � <br /> EH Specialist: - Phone: 16 >n jt <br /> -__ <br /> "0( - _1 <br /> 1 Time Out: / Page I of I <br /> Time in: � 1 <br /> EHD 16-24 (21 pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />