Laserfiche WebLink
SAN .JOAQUIN COUN <br /> ?� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c4.... &,..;e• Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sioov.oro/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ` e Co � 2 Date: 013VIi (0 <br /> Address: WQ 1 �„, AY� <br /> 'f- City: �.,�I�. ( zip Code: G�2 <br /> Owner/Operator: C(Ar U Pr�s I wl Telephone: n 4 -b 4-. 6 <br /> Program Element: I I, .grogram Record: �'Q � 2C� b Inspection Type: (Ot"t IGIA-4r <br /> 8180 Posted O YesI�0 Remit Posted l O Yes Of Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> (dN1 I c)I n-4 I v eng&r m 'rhecu-lb epSi- <br /> (cNr%CC o e mcl ' .t \.MnGAVQCA <br /> A eft 1 h (r e MQ <br /> r\cN- VOtvo ii <br /> \-�oi-1 Q Q Gwxr� \r - n U-1htz ir\ G 4jul�-t- <br /> GNCxO_(, 5 eS is cA. ,I e maff-ex <br /> �, wtt Mtge wa Gl�Z <br /> F)C>lr un Qi A-C <br /> iF- t ine�rm\+(N ra <br /> 1 1 [ �( " <br /> ruv.i cle C <br /> fev�r1 c uN <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: and Sink: .Fhlorine: ppm Heat: 'F <br /> Exp.Date: arewashing Sink: 'F Quat.Amm.: ppm the-: "F <br /> Received By/Title: <br /> EH Specialist: Phone: 9-0 <br /> 9 <br /> _ <br /> Time in: ` :�� j <br /> Time Out: `y,„W A Page of <br /> EFID 16-24 )2b pg) 413113 FOOD PROGRAM OR CONTINUATION <br />