Laserfiche WebLink
aP41'N•c SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �{Yr daYa. Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.oro/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Qir•l .e -t-a u Date: 1/1-2 /10Z3 <br /> Address: ) City: I .� G Zip Code: 02 <br /> Owner/Operator: J l� Telephone: <br /> Program Element: Program Record: rF 0.5 Inspection Type: <br /> 6180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> /2 — i Ks 2C 'On . <br /> (019 <br /> �� -�pl` <br /> kv S YN C2 / �A re flele v n <br /> a 'OnS <br /> �I I �3 _ CCur� <br /> u ' XV I/C c <br /> 4n <br /> ox <br /> jx//O <br /> gto Ll r oc.L <br /> S O o <br /> Copq 1 <br /> Item/Location Temperature Item I Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: 'F hlorine: ppm Heat: 'F <br /> Exp.Date: Warawashing Sink: of uat.Amm.: P they: 'F <br /> Received By/Title: <br /> EH Specialist: /C - Phone: <br /> Time In: 9 , s M Time Out: !)' S 3 nb� Page of <br /> EHD 16.24(2n°pg) 4013 FOOD PROGRAM OR CONTINUATION <br />