Laserfiche WebLink
Qu�N 1 �lU✓J y�HT1 <br /> SAN JOAOUIN COUt- <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> - _ 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s'gov.org/ehd <br /> X46- <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Y 1 ° ✓l. � r 0-1_(,,-.S1 1 + Date: <br /> Address: w City: � Zip Code: p, <br /> Owner/Operator: G,R n — Y-rrUY 61100-jq air- Telephone: 92-5-E26--9090 <br /> - _ 6--909 <br /> Program Element: I/_ �.Z h/ <br /> Program Record: r� r"'�, 0 D�G.�� Inspection Type: <br /> ._ I <br /> SB180 Posted I Yes C. Permit Posted -]Yes I No Re-Inspection on or After: Tl <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 0Vam4 En r rn 4S <br /> moi- I�i G n C l-u J <br /> u III ro 4,e r s JZ <br /> v a r rr] -- <br /> Y U.c+ f60 Y 0 -E 2 <br /> ,- cz l <br /> a <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: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: L, , f-ilIC. N y14 I, <br /> EH Specialist: Phone: q,5 6—,? p <br /> 19 <br /> Time in: Time Out: 7/;q o Page of <br /> EHD 16-24 (20°pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />