Laserfiche WebLink
ANIn.. SAN JOAQUIN COUNTY <br /> a ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .. a Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.siclov.org/ehd <br /> +LIFUR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Date: 3 o2U 3 <br /> 7Posted <br /> : <br /> City: Zip Code: <br /> �jy �! <br /> Telephone: <br /> : ` �{//h,( �i(/J� <br /> Pr ram Reeor OS�. Inspection Type:r �-� <br /> nt: /��� ogYes No <br /> Permit Posted Yes NO Re-Inspection on or After: f f p <br /> OBSERVATIONS A <br /> ✓i vt Ct ✓, C Gt <br /> ✓ v I ! _ 411 <br /> G V� <br /> r de - <br /> lJ JI ` <br /> 3-TEMP THERMOLABEL(9 <br /> 3 TFMPYHERMOLABEL square turas N 71'0 4 11441W <br /> (/ <br /> Squarptoms F - -­.r. .e - 170T <br /> 71V <br /> temperature � 7rCmI+ <br /> black as 170°F ..i -io-reeehM ❑ -0G3 <br /> teperature 77°C Fa a2°C <br /> is reached <br /> a2°C 00 <br /> Ite oca l 0 ,. perature 1� !"`Temperature <br /> a ! l +w 1d _ D <br /> i <br /> /F <br /> C h IWn Wivfii tkitkPrt 4W,- S81 tvcti c �il-t y� <br /> warewashing <br /> Name: f /�7����� <br /> Hend Sink: °F hiorine: ppm Heat: °F <br /> 11 - <br /> Exp.Date: I �S �a" arewashing Sink: 1 °F uat.Aram.: PPM Other: =F <br /> Received By/Title: J <br /> EH Speclaiist: , !, 1 I r l Phone: O q ' V— <br /> Q <br /> ime In: Time Out: Pagel of 7_ <br /> EHD 1624 (2^'pg) 4/3'13 FOOD PROGRAM OIR CONTINUATION <br />