Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> y ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.slgov.org/ehd <br /> �/FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C� 2 t\Ao� Date: <br /> �- I —I- Ikj <br /> Address: City: Zip Code- 3b <br /> Owner/Operator: 1� Telephone: <br /> Program Elemen : Program Record 2 S 3 ' 2 Inspection Type: <br /> SB180 Posted ❑Yes ❑ Rermit Posted ❑ es ❑1 Re-Inspection on or After: �- <br /> :4SSERVATIQNS AND CORRECTIVE ACTIONS <br /> "`ON�:\ C <br /> 1 s; 3 <br /> S — C <br /> G <br /> �-\ I k ( . <br /> '^ fir.. c• �r-e - �1 h-��., c 1�9 <br /> 2 <br /> �O C — LO <br /> j6t /Lo„ an s E. Temperature Item 1 Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Ex Date: - -- <br /> p• arewashing Sink: of 11 Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: - Phone: <br /> Time in: Time Out: Pageff <br /> EHD 16-24(21 pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />