Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> r. y ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �4r/FoeN P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.siaov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: I <br /> Address: -1 f�. G^ i5 City: Zip Code: geT <br /> Owner/Operator: J l� Telephone: <br /> Program Element: �b ogram Record: O� Inspection Type: <br /> 6180 Posted es No Permit Posted a No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS's <br /> A IIA <br /> Itom/Location Temperature, Item/.'Location. ,Temperature <br /> Food,Safety.Certification Facility.Hot Wafer Temperature _ - - Warewashing _ <br /> Name: Hand Sink: "F Chlorine: PPM Heat: -F <br /> Exp.Date: arewashing Sink: `F uat.Amm.: PPM ther: -F <br /> Received By/Title: <br /> EH Specialist: Phone: ,n <br /> !me in: Time Out: S� Page of <br /> EHD1G24 (20pg) 413113 FOOD PROGRAM OR CONTINUATION <br />