Laserfiche WebLink
,o..to WN SAN JOAQUIN COUNT'" <br /> Z� ENVIRONMENTAL HEALTH DEF-HRTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q..•. �;;P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> �I POR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: �. i_ - City: �.i,,� (L �-�`� Zip Code: (]�21U <br /> Owner/Operator: r Telephone: _1 <br /> Program Element: r Program Record: p Inspection Type: <br /> 8180 Posted es ❑ Rermit Posted i+ CyYes ❑I Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> v iulU�l� <br /> -Y Ok- t) i �1�•Rtn� r SIS <br /> -IGV� <br /> =Atem f Location Temperature': <br /> at Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of uat.Amm.: ppmOther: of <br /> Received By/Title <br /> EH Specialist: Phone: <br /> Timein: �.;S Time Out: p : Page of <br /> EHD 16-24 (2ntl pg) 4/3/13 7/ FOOD PROGRAM OR CONTINUATION <br />