Laserfiche WebLink
SAN JOAQUIN COUN <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.orgiehd <br /> <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT It <br />Name of Facility: \AA I Ci2c onian u s <br />10 `C ci ng n4011:1 tD <br />City: <br />CC1 cYfl <br />Program Record: PIZ 6 62./01 4 <br />2(Yes 0 I Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />c$Fseirted'izej=c)(145A' e00\ A7u rito NtriThrc ic1601-Incl <br />oivrtorft ,ck low-is on Q4e- (urrecAEdcms-le <br />1•42QAticA6 rot or\ c-ke mOinian ccipy cOl <br />-VD CCv.e, 1,ep-1-1 \ -c-0 t:Li <br />Address: <br />Date: 1(3/-,334 <br />Zip Code: <br />Owner/Operator: a Telephone: <br />SB180 Posted 7C'es 0 Rermit Posted <br />Program Element: 1(3034 Inspection Inspection Type: <br />Item/Location Temperature Item / Location Temperature <br />Name: <br />Facility Hot Water Temperature <br />Hand Sink: <br />Exp. Date: Warewashing Sink: <br />Chlorine: <br />Warewashing <br />ppm IHeat: <br />lOther: <br />°F <br />Quat. Amm.: PPm °F <br />Received By / Title: <br />EH Specialist: <br />Time in: • <br />Phone:na 11-60 <br />Time Out: Itc Pager of <br />EHD 16-24 (2^d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION