Laserfiche WebLink
aat'A .go� SAN JOAQUIN COU' <br /> _ ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq., _� ;P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sioov.om/ehd <br /> �rFOR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Y r Q/ Date: ci _ /_/ r, <br /> ddress: cit <br /> O y: zip code: c/ $a7 cs <br /> Owner/Operator: Men Fide <br /> / Fr Telephone: 303 d <br /> Program Element: Program Record: R Q tJU n K- -7� Inspection Type: <br /> B180 Posted Yes �No Permit Posted Yes o I [/ Re-inspection on or After: <, r 1� <br /> OBSERVATIONS AND CORRECTIVE ACTIONS V <br /> r r '4e V--f_' L <br /> a Le S Ina Ke PL4Ci2 <br /> K -'x564-er Y <br /> c- Lc 9 VV R 5 <br /> e h,4 C U &I S-i r rrr i <br /> Item/Location Temperature „Ic , ; Item!Location , . Temper <br /> Food Safety Certification Facility.Hot Water Temperature a Warewashing <br /> Name: Hand Sink: "F Chlorine: ppm Heat. ,F <br /> Exp.Date: Warewashing Sink: of Oust.Amm.: PPM Other: of <br /> Received By/Title: <br /> EH Specialist: 'jeoPhone: q63 — <br /> Time <br /> '2 —ime in: s Time Out: 10 -105 O Page of <br /> tHD 1624 (2n°pg) 4r 13 FOOD PROGRAM OIR CONTINUATION <br />