Laserfiche WebLink
SAN JOAQUIN COUN <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.orq/ehd <br /> <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />1-orNCh Date: 2//5 Address: 1 7 11 5, ()11-. 0 City: ,c4 l( ri Zip Code: <br />Owner/Operator: 1? 4 2- 4 Telephone: <br />Program Element: 16, 03 Program Record: 6 p cc 721/3 Inspection Type: ro j_q3 e, q <br />SB180 Posted 0 Yes 0 Permit Posted 0 Yes 0 I Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />L: ( 4k ?P.- 0 2 76 ,.., <br />tLr $ o7 02 <br />ovidk -C 1 rvi rx a — (- e 4;4e ', ei 6 0 t, . <br />tx) arrei I 4 . 0 I , a i 41 i <br />er00.64 St/ I' C 105;A or ; 2 Gjea 1(5 <br />(--> <br />0. 4 U r tor ,. • +6c .2 0 iS Oe n ft Gr.) a Pe beer, <br />* Pre pi . ,0 pe i mf4-eel i /I SC4 A I CM ("el CCW -niy <br />Item/Location remperature Item/ Location <br />S4eu /4 4-c, hi c <br />Temperature <br />k catch- i ri q ii: <br />Food Safety Certification <br />Name: <br />Facility Hot Water Temperature ' Warewashing <br />°F Hand Sink: 0F it— Chlorine: ppm Heat: <br />Exp. Date: Warewashing Sink: 1 )_ 1 0F Quat. Amm.: ppm Other: °F <br />Received By / Title: .., v/e.,/4... <br />EH Specialist: Phone: <br />Time in: <br />q ; 6 4) <br />Time Out: q; ti Page of <br />i <br />EHD 16-24 (2^4 pg) 4/3/13 FOOD PROGRAM OIR CONTI UATION