Laserfiche WebLink
off'"iN•_F SAN JOAQUIN COUNTY <br /> 'a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> a¢`IFa a`a. Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjoov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: -' fj C(7S LO r,- '5' Date: 2_ _.,-.Z9 <br /> Address: E CI c7G Zip Code: SZO,� <br /> Owner/Operator: I&PTelephone: <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 1'�O A419ZrfllZ VIOClq7-10NS- <br /> F M A tz. H N C6 !F jC97T&S &p=E NON OU Sj <br /> h awl' t b p y fio 5,- o a t t <br /> CkLPkIMF T£ST- S IL/PSr- ViOC- <br /> plq.Y5. <br /> OWAj <br /> E ! I zl P <br /> Co 6 6 N o « T <br /> Th4AJ OA16 - 1AIC14oM- <br /> 0 KA 4Y o SS v Z 45- <br /> 1 <br /> SL !G06 A <br /> Temperature <br /> /- R_ Sow Goo g' <br /> 0 3 � <br /> Food Safety CertiflcatP Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: OD 'F Chlorine: Ppm Heat: of <br /> Exp.Date: arewashing Sink: Z 'F rust Aram.: ppm Other: 'F <br /> Received By/Title: <br /> EH Specialist: C L A A4 1.4 PO Phone: _5K1_'9;79 23 <br /> [me In: 9,'0.2- Time Out: O.D? <br /> s' 14 Peg oZ <br /> EHD 16-24 (2m pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />