Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> a zK ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sicjov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: -� Date: t_ 14_2 3 <br /> Address: �'7 � City. —rr�C Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: 1`_`CJ2_ Program Record: 5 2 Inspection Type: VAN Ai_1q_ <br /> SB180 Posted D Yes 0 hermit Posted Dyes 0 1 Re-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> item/Location Temperature Ii Item/Location Temperature <br /> Food Safety Certification f Facility Hot Water Temperature Warewashing <br /> Name. Hand Sink: eF Chlorine: ppm 1Heat: 'F. <br /> Exp.Date: Warewashing Sink: 'F Quat Amm.: ppm that: 'F <br /> Received By f Title: 0 <br /> EH Specialist Ph e: 2 _ <br /> ime in: Time Out: C Peg of <br /> EHD 16-24 (2-pg) 4/3113 J1 FOOD PROGRAM OIR CONTINUATION <br />