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.sjgov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: ,-e-- OAF r..5- A -•.;e-le/9/VF=4,.--3.r.2P Date://i 4.5-1:4_3 <br />Address: z 5 qz. :-..-; ., e),,,e A 00 City: - e je_71>A j Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: it<1.? Program Record: 05 a'S' 9g. Inspection Type:A"„ , 47—/k/ <br />SB180 Posted es No Permit Posted es No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />je) r -/ A4 E: A e 0„_/,' L i c 1-/-549 el-1V- c),Avi'le.c.i-- / 1--, emd, 4. <br />R Eco A. b.,S" k 0 i KE-- LA c- ...IA)q• 6 2-/)74"/Iof EiV7 — if'F_C OROS/SOCtinie&j,WILIi <br />12, 0-A y. POol) i1ez..46 to's.) 4 ER. 7"ii pc ov V --h'o 4t/1 2 pi p;<' ii D. c t? n ri/g <br />5'11 f iii z. L 1:3E 17 Ar 649 CZ- 0 E 0 <br />o4'' le, /5.e.)F. /19'ea ek rr. G. i - f;'- fla i V -- <br />/5 poW/P. <br />I C "0-16 '1-/-7 -• g Acy L . <br />Item/Location Temperature Item / Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: p in ici R.. 4.0751.4.„5- Hand Sink: 1-0-Z---- ,F Chlorine: ppm Heat: °F <br />Exp. Date:CI 9? / 7,24 Warewashing Sink: oF Quat. Amm.: ppm Other: °F <br />Received By / Ti le: /- 1/47- IC", 111,k, <br />EH Specialist: Phone: <br />'.21/-(--41 <br />I T <br /> ime in: Time Out: Page <br />EHD 16-24 (2"dpg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION