Laserfiche WebLink
SAN JOAQUIN COI,. - Y <br /> {t <br /> ).•'� '•.O <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �;.: r•.�;;P Telephone: (209) 468-3420 Fax: (209)46www.s4gov.org/ehd <br /> 4=01 $ Web: ww.si4ov.org/ehd <br /> /FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: CCS 1'T�e Date: S-2,6-15 <br /> Address: 5 2 1�ANS 1>� City:/ _ `A/� Zip Code: <br /> C�� SS C'"11- S'� �• <br /> Owner/Operator: QS Telephone: S� <br /> ,1, <br /> Program Element: `l^ Program Record: % b I Inspection Type: <br /> SB180 Posted ❑Yes ❑ Permit Posted ❑Yes I I Re-Inspection on or After: �WV <br /> . „ OBSERVATIONS AND CORRECTIVE ACTIONL:: <br /> ' '.0O <br /> 1 - y-- F ` <br /> 2 c,� <br /> ak 6A_ <br /> 2 X <br /> 2 <br /> �n <br /> — 1A CmS9 ED <br /> Item/Location Temperature (tem I Location i Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> ne: ea <br /> Name: Hand Sink: of Chlorippm Ht. of <br /> Exp.Date: arewashing Sink: of uat.Amm.: ppm ther: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: 1B. 2A3Time Out: Page, <br /> —1 <br /> r 0 . 30cz� of <br /> EHD 16-24 (2^d pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />