Laserfiche WebLink
SAN JOAQUIN COUNT . <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> . c4.. ��P• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sogov.org/ehd <br /> L/FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ' Z Date: 5 <br /> Address: 3214 City: � Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: lo;zqPr ram Record: 5! 5:5 25 t Inspection Type <br /> �?_h / <br /> SB180 Posted' Yes 0 No Permit Posted`5(Yes 0 No Re-Inspection on or After: �t1PQK <br /> g OBSERVATIONS AND CORRECTIVE ACTIONS <br /> a Le /IejU4 ►—Tzv" n��/ -7 7/- <br /> 42 <br /> -- <br /> C <br /> L Z L' <br /> Ove ✓ <br /> 6 Le <br /> tit Su�2_ Cin12Lm <br /> 61 <br /> ((J a 3 h rf h S-t —b_ So PL.` air d r` <br /> 3 ose cd-kls <br /> D v) V <br /> Item/Location Temperature Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: / Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: _`a a� Warewashing Sink: of Quat. Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: / Phone: / <br /> Time in: / �2_0 e� Time Out: Page f <br /> EHD 1624 (2W pg) 11/2/09 FOOD PROGRAM 01R CONTINUATION <br />