Laserfiche WebLink
a44H'" SAN JOAQUIN COUNTY <br /> " ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> aq.•• _ `p Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sigov.orq/ehd <br /> �IFORN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ZCZ Date: <br /> %ddress: . . \ C 1 ^ _ n City: Zip Code: <br /> wnerlOperator: VV VY"G. Telephone: <br /> Program Element: \ 1 Program Record: S0� LI Inspection Type: <br /> 8180 Posted 0 Yes 0 Permit Posted Dyes Of Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 3 - 1 clhp-if s S <br /> bor\\ 33 f= �t OF <br /> e J - 3 — �=x�\ J LRS- '-t F__ <br /> c (esc e \5 - - - C-1 -\ - Ic.c 3 = <br /> e- SS F \`1016E <br /> ee5 - vJCn 1SS 3b -- —u.) 1- Zb <br /> e WCA 1 - 3 I - <br /> vJ - ii, i — `1 os = <br /> e - —vs •- 3t I = <br /> sN iip <br /> semVNeV b2 <br /> c CA-Ar 1 k S3 1= <br /> ItemlLocation Temperature f Item Location Temperature <br /> � I <br /> Food Safety Certificatid' ii _ Facility Hot Water Temperature —jj Warewashing <br /> Name: Hand Sink: `F LChlorine: ppm Heat of <br /> Exp.Date: Warewashing Sink: of IlQuat.Amm.: Ppm ther: 'F <br /> Received By I Title: Q3 - \ <br /> EH Specialist: Phone: �� — �-•� c <br /> Time in: III <br /> Time Out: \ 059 G J Pag f <br /> EHD 1624(2^ Pg) 0113 FOOD PROGRAM OR CONTINUATION <br />