Laserfiche WebLink
oqc"'"• SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />4`ledR�;a Telephone. (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: 5 • "-\ <br />1 e A d 1\1\k3(L: <br />Date: l - 1 3- z3 <br />Address: 1,^y <br />O� City—( <br />-C _ Zip Code: q <br />Owner/Operator: MBr ese 4-, <br />Telephone: <br />Program Element; 1 I „ <br />,❑ <br />Program Record: c _� y (� " <br />_t <br />InspectionType: <br />56180 Posted ❑Yes No <br />Permit Posted r Yes - No <br />Re -Inspection on or After: <br />— <br />- OBSERVATIONS AND CORRECTIVE ACTIONS <br />Item/Location <br />-Temperature <br />Item (Location <br />-- Temperature's-. <br />Item! Location <br />Temperature <br />_ _Food Safety Certification <br />Facility Hot Water Temperature <br />Warewashing <br />Name: <br />Hand Sink: ; \ I Z T <br />_112^ <br />=F <br />Chlorine: ppm <br />Heat: of <br />Exp. Date: <br />arewashing Sink: <br />J\J <br />of <br />uat. Amm.: ppm <br />Other: of <br />Received By/ Title: <br />EH Specialist• <br />- <br />1^� <br />Phone: 2v�1_ 616- 3025 <br />!me in: �:t , <br />Time Out: `O� 1 Page f Z <br />EHD 16-24 (2" pg) 419112 FOOD PROGRAM OIR CONTINUATION <br />