Laserfiche WebLink
SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siciov.orahd <br />FOOD PROGRAM OFFICIAL INSPECTION REPOR <br />Name of Facility: ,5 <br />aietz&--772 ea tt /9 7 75-1/ a Date: I /3/3e2 .7 3 <br />Address: 3 17. .E , //-a //J do/0 /hie, 473-0.43 City: Zip Code: Crioctity‘.) <br />Owner/Operator: , "manly cedes u s, .... casi zetect it , Telephone: ,201_42 4.742- bbe sa i <br />C a nsuitzlz 0'7 Program Element: 03 Program Record: SR „ . (pe n ett 179) Inspection Type: <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: A j/ri_ <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />no volatang. <br />i „....• <br />cencubt - A _II on /p %M mit eterno-, I C , f go auce inue <br />. • <br />Lt tonfee, p let-to -11q7 -7511a <br />ve n tr. • m 07-11 d- <br />Pe ica-a, i <br />(KIT Katt cw 3 perat.4- (b. p/Aern-t-i- 64240, tan <br />paLit - is, I 07-1 • ig &Jos", 4..a7va..-00v Pg DS 41 et, c i bi-/ on <br />(P4 026729-) i <br />, <br />i <br />I <br />I <br />Item/Location Temperature Item/ Location Temperature <br />i <br />I <br />I <br />Food Safety Certification Facility Hot Water Temperature r WarewashIng <br />Name: Hand Sink: o F Chlorine: ppm Heat: °F <br />Exp. Date: r WarewashIng Sink: .F Ouat. Amm.: PPm Other: °F <br />Received By / Title: <br />-4 4'411/r - <br />H Specialist: W <br />1344Y--eR <br />Phone: 9‘0(.1.....-(0 / tp...._.3 O -/-b <br /> <br />Time In: Time Out of I m ath Page/of / <br />EHD 16-24 (V, pg) 4/3,13 <br /> FOOD PROGRAM OIR CONTINUATION <br />1