Laserfiche WebLink
4u'N SAN JOAQUIN COUNTY <br /> )��FOG <br /> '� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c.., `P.. Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sioov.orD/ehd <br /> 94i'p ii R�' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: G—L QCF Date: D 1—Orj►y <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> B180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> D ✓l0L <br /> g. s x14- 47 ur► <br /> NrH 6 CIQVN . S A <br /> P"ra a <br /> o ON At oLu C <br /> ItemiLocatiort Temperaime �X�Loeation? - . <br /> -OW- COOL 3 h 'Jidl2 CDd/��_' C �fOr� <br /> N <br /> 44 DL <br /> CON bi /Kr—"-TCOoLaje ,3 O <br /> 7Dateood Safety Certificad Facility Hot Water Temperature Wamwashing, <br /> : <br /> c Hand Sink: t p p F Chlorine: ppm Heat: of <br /> 1 J <br /> 3_tb �•ZO�' arewashing Sink: /Z.3 �F oust.Amm.: Ov ppm ther: `F <br /> Received By/Title: <br /> EH Specialist: C'-+4-14-0 1. - M u JP_b Phone: 2-90'9- <br /> ime In: �� • 2 9 Time Out: ` Z:ID Pagwf Z <br /> EHD 1624 (2n°pg) 4/3113 , FOOD PROGRAM OR CONTINUATION <br />