Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �Iwea� a' Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: AA Date: <br /> a X'17-07- <br /> Address: I / t G1 -a City: N Zip Code: fJ^w <br /> Owner/Opremtorr: Telephone: <br /> Program Element: /� N Program Record: 0.!5'Ll tj 54�U Inspection Type: 2 NI <br /> 8180 Posted Yeil No Permit Past - Yes No Re-Inspection on or After: l/ZS 0 2 <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> QbcPalt. !o i$ C'00 11 <br /> 44 40A <br /> 0A 41 A�Z' c4 G <br /> veie�l L <br /> hewf h ASL <br /> it- <br /> a <br /> �1 .. H Src ` ✓e Gy <br /> vl 3 <br /> Ztl <br /> n/r <br /> Item/Location Temperature Item/Location Teimperature <br /> 1(,D F b+ 6 s�1 <br /> 111-4 SIP Son goF <br /> /LN F le 140 F- <br /> • is ,af ��` /ice <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: "F Chlorine: ppm Heat: -F <br /> Exp.Date: arewashing Sink: -F Ouat.Amm.: ppm or: 'F <br /> h <br /> Received By/Title, '-S c <br /> EH Specialist PIK-��- a/'_� Phone: �o (j 6X30 3S <br /> ime In: ��S /1111 ttA�e��� Time Out: I• L!Q Page of <br /> EHD 16-24(20 pi) 4013 r_/ r 6 FOOD PROGRAM OIR CONTINUATION <br />