Laserfiche WebLink
SAN JOAQUIN COU Y le <br /> °Pct•"ce s.K��$ <br /> W . X <br /> ENVIRONMENTAL HEALTH DEPARTMENT j u{S_F'1, <br /> - 1868 East Hazelton Avenue, Stockton, CA 95205-6232 © -5 P <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> LfFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: fyyQ.c-et, r n S Date: <br /> Address: oZ 111 t4 t City: �n Zip Code: S 20 <br /> Owner/Operator: rQ C-*,_ LµrtiQ a 1 3 Telephone: 0156-08 <br /> Program Element: 1(00-210( 1 Progra ecord: S p OC) t ' Inspection Type: Como <br /> !SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> + �G1RFECTIVE A y � <br /> __.__._...._.__._..._.......__........_._...._...� <br /> Lo /1-e rs 0 ,47 1"Y1 cc LA rw r�-e, oL.+ `7 42 1 U c�c.4 :Ej--C _Au 2- _ ---- <br /> Ll%' . et C=a tA t---- �{-7-�-f.•c l-- <br /> _rQ C44 C ................G1._n —_-.._................_...._........._ c'-K'..... ...._..._........ <br /> _...._..'J <br /> Y ` >✓1 cjj 1 ct — `Z-- C s rt a c-r-cZ !� <br /> (moi r 1 rn Cl yj cz- y uhf c4 n Li <br /> Lk) ^A 1i-z e r Jo <br /> (, G o © M n-cA_►-v< c -- a.__........... <br /> _h©L d�.v�c.. _ --...................._...................._.._..... <br /> +v +-P-e- Ls peri c� p ryS rA <br /> (.c,t nti r n• 3"�-U <br /> 6,1^-K n-.0 'r � .lam - ejo epi ('r1 1 Lno LZ ti o -ca,4 i c q <br /> - - r t,vu4fr hza4•e r ( O u.4:cicuv r <br /> Item/Location A Temperature Item/Location 1 Temperature <br /> I <br /> I I <br /> i <br /> Food Safety Certification Facility Hot Water Tem rature - Warewashing <br /> _ — <br /> Name: iinnk: t V o f Chlorine: ppm Heat: F <br /> Exp.Date: Ware. asfling Sink: -F Ouat.Amm.: ppm Other: aF <br /> Received By/Title: <br /> EH Specialist: '�, Phone: _ •� <br /> vt� --- ._..... ' - <br /> Time in: Time Out: Page�of % <br /> EHD 16.24 (2n°pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />