Laserfiche WebLink
Q � ��11 ��2 <br /> o <br /> Pa"�" SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> -_ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q..• ;P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: , ' ^�� Date: _ <br /> ddress: 2 �2 `\ (\ City: -r. Zip Code: G1 S <br /> �U l <br /> Owner/Operator: Telephone: 2� 1 <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-inspection on or After: <br /> - OBSERVATIONS AND CORRECTIVE ACTIONS <br /> a 22 `7et <br /> _ <br /> ecn <br /> 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: arewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: . 5` CA3\) <br /> EH Speciali \ _ Phone: <br /> Time in: 2 \ v �! Time Out: �� cPage I of I <br /> EHD 16-24 (2nd pg) 413113 s �J FOOD PROGRAM OIR CONTINUATION <br /> ��CA <br />