Laserfiche WebLink
SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPOR <br />Name of Facility: -( (ACC( 0 r ce'),If 2/(( 41 / y Date: t.7 A 3 <br />Address: g,1 1-1, rrLakri City: StpoKIDAI Zip Code: s 65 <br />Owner/Operator: tnitywite ,,af--riLejj Telephone: (90___017/ _3a5 <br />Program Element: "3 3 <br />Program Record: p , - 1/..• 6-1 ii Inspection Type: <br />SB180 Posted es NO Permit Posted Yes No Re-Inspection on or After: <br />— <br />OBSERVATIONS AND CORRECTIVE ACTIONS 0 Po- pv2-rw- <br />re 717 51117 I's ow puideJ7 . Plci,t), gepaLv- <br />a . <br />0 Tairrudw d4,ert/32 a4- l F fl i 4.)7 <br />1 Ce CAPS -1-s I <br />nteAkil Ai fa- a,71 L5 -trj <br />I <br />PeA7 009-69_, -ta/tie I , {VI/ 17/ /1.0U.,----T <br />/1114 , <br />/ % / ' ce446ca1749-fi /la- on en s a. is • _ eb d__ „1,r, ... cu4 ,e) <br />a}14-0i 4-: 4 / 0 -e l I 40 A - , 0 <br />'S , i <br />3 W .,1- aLd 4,--f - MiAlt29, Provii <br />ui 2l fi / / ritcl-- Pfte6peiati/lie Ly64- <br />Iterfi / Location <br />e al. <br />Temperature Item/Location emperature <br />7 <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: / / ' f , Hand Sink: oF Chlorine: ppm Heat: 0 <br />Exp. Date: Warewashing Sink: 0F Quat. Amm.: PPm Other: 0 <br />Received By / Title: --?/._ V <br />EH Specialist: <br />(,L&— 5 <br />Phone: 4 acelV <br />Time in: Time Out: Page/ of / <br />END 16-24 (2'd pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION