Laserfiche WebLink
Name of Facility: c-D _ <br />Address: S 00 -1 kin S4 iQ.e SO .% <br />City: 0.1\ ocke _k_cp Zip Code: <br />Owner/Operator: 0Q. ) 00(\ <br />Program Record: 5 —j Inspection to $0 a Inspection Type: <br />Date: - s- s <br />Program Element: <br />Telephone: taii -3 1s•Q <br />-t-‘033 \ \03S- cAc__ <br /> <br />Received By / Title: • r <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />LcA sI cA <br />k 0 3a-32. Qs-) <br />YS - o3o--z42. sec K\ 2bo9.--cT c 1 /49 -2_t 010`-'110 <br />o ?coo vNA <br />-st•D OAr-Q•Lc-A- <br />C 21) C:Le 0-7 <br />ck)v ,-)...71w—oovv--j Cla lor - 3 T - <br />cknA-4-,L) <br />tte I oc tion <br />Food Safety Certification <br />Name: _ '02C--krov-ge <br />Exp. Date: <br />Lk - '2x)2_C) <br />Tem peratur Iteml Location Temperature <br />17 Facility Hot Water Temperature <br />Hand Sink: <br />\ <br />o F <br />Warewashing <br />Chlorine: <br />CUJ PPm Heat: °F <br />Warewashing Sink: t °F Quat. Amm.: PPM Other: °F <br />EH Specialist: Phone: `-4tot3- 033 <br />Sow\ Time Out: cti 2.s Page \ of <br />FOOD PROGRAM OIR CONTINUATION EHD 16-24 (2nd pg) 4/3/13 <br />Time in: <br />SAN JOAQUIN Cow <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />SB180 Posted 0 Yes 0 Rermit Posted Yes o I Re-Inspection on or After: