Laserfiche WebLink
oP4"I" SAN JOAQUIN COI. .•Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax. (209) 464-0138 Web:www.s*gov.org/ehd <br /> (FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> 1- -1 <br /> Address: L4-1o L Pe <br /> .c rf/L v V e- City: +0 Zip Code: <br /> Owner/Operator: I' `-A c— <br /> Telephone: p <br /> Program Element: Program Record: U a Inspection Type:oO% <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: w� <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> rX,e, a Ce-+ r _ �3— c.cn N�f 6+A4L n-ems+ -4� -�r�e-e-- e r <br /> lzof n cLA_e ro u4 de_ lacI f w,-,e-x - _- <br /> i r -j-ows 1 d i -rasp r' c&+ waw-hr-e ss - <br /> _, — <br /> r% SC.t:-F /!So v- is S.c_� � e P e­k 1 T r i A <br /> e c ver - <br /> 11r k L.o W i .eR C1 n 6 V74 n.'4- cN r-e, <br /> 0 r 12a L.l 6-Q Q—, LLA me 8 0 rl a <br /> t-S ° Q I KA n C-)o Lo- YS ,1(-.2 r a. <br /> 4t r L,o4e r*i o r o-42 <br /> --I-h.e tA 5h V u 'lnors uricw r rte-cL-4-1 <br /> r en vt d <br /> --- 6U5 -u __ -_5 A-7^_*0 1apr_s _/ -�F-000r 6 - ck_.tare V; tt f7L-P— <br /> - - <br /> 33 F a4- e,17C4 04 <br /> ltem/Location Temperatures Item J Location Temperature <br /> r <br /> Food Safety Certification Facility Hot Water Temperature _ Warewashing <br /> Name: Hand Sink: `F Chi ine: ppm ]Heat: `F <br /> Exp.Date: arewashing Sink: °FJ uat. Amm.: ppm iOther: of <br /> Received By/Title: <br /> EH Specialist: Phone: q53— <br /> ime in: &I• 5D Time Out: �2-�7 5 Page�of0 <br /> EHD 16-24 (20°pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />