Laserfiche WebLink
SAN JOAQUIN COU. - , Y <br /> �o�•c°G <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . �;.. _. ;P• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.siQov.orq/ehd <br /> �iFORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility 37Q o F{ U, c�:lr I I Date: <br /> Address: q(.0 I Pa U �G AV-R_ City: 4 o Gc 4o�1 Zip Code: q P-0 n <br /> —{ <br /> Owner/Operator: Y r I I Y-C-1 rl W rS 0 Telephone: 9:59 -(o; <br /> Program Element: L Program Record: n Q Inspection Type:50013 Q <br /> a �� <br /> 8180 Posted Xyes No Permit Posted XYes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> rte C- C 0 o, i2,P r -0vi-e- a� ►,- 0 kL..k_ (a"r_" <br /> rr <br /> r P r-e <br /> e r Q +r- <br /> Lee ..Qin b 'Z lilJ� <br /> To h L d <br /> r n i alis 'Y7 r - <br /> -F-h o n rs a-4- <br /> 1,4-) <br /> ... <br /> OL waskt ✓L 4, cS I__46S Z,,d 11-- �y.-e-e-u rs <br /> �- ra � rn-o✓e- C�r- o I a 5 <br /> V ✓ '{z <br /> V n.s o km.. -Au r .c� 4 SCC� 11. or ct ean cn3;d'o c d r <br /> .e ► <br /> n l oo r.s he' d 64 o l::�n .e u..�' � rr�n Ca, a <br /> n bo rnz J ✓ 4e SS K-114plesa <br /> L 0 Y..pe,x lkei,L.[ <br /> $ n rz c4v �w i Cord- as 4 b o r <br /> I5 CA_ u r Le- yc-� <br /> Item/Location Temperature Item/Location Temperature <br /> C!IOF <br /> - <br /> ---- ------- <br /> - <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: and Sink: ° Chlorine: Heat: ° <br /> D o a ,S J r6�Y•�r5 �- F —GO L/ . <br /> Oppm F <br /> Ex Date: arewashin Sink: OuaL_Amn],; Other: o <br /> P• — g °F _ _ bvPOPM F <br /> Received By/Titl <br /> EH Specialist: Phone: r� f <br /> Time in: 06 Time Out: ;R "©`J Page of 115 <br /> EHD 16-24 (2"'pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />