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.siclov.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: pEA A L.71r 112 D 0 9 c Date: flit( Zete <br />Address: ,,V 44 ividil Z.4/19, City: volo Zip Code: 5 49 „955e, <br />Owner/Operator: Telephone: <br />Program Element: SZ# Program Record:....?? a le --i- 440 525-53 Inspection TypeA)0 077 /,\/ <br />SB180 Post es No Permit Posted es No Re-Inspection on or After: <br />1 <br />. c <br />"A C-c ---• 5, P 415 - Irzo 53 A '/ zi <br />MI2-- V j 0 i-- A17 6 7M-' .444 <br />- A* ft _..or-' <br />4° ,671 Po --.7,1 pe, 9 <br /><__e_J_,J___Ai. Lrkoi-- P,--,s•id ,-____)3 \---,ero lljef____6 ,64/,r, <br />111111101.1110MMINMOIMMIIMMW " ' " ' Ca ' J_F-1 I ,I,. <br />Food Safety Certification Facility Hot Water Temperature WerewashIng <br />Name: Hand Sink: oF Chlorine: ppm Heat: °F <br />Exp. Date: Warewashing Sink: .F Quat. Amm.: ppm Other: °F <br />Received By / Title: <br />CV . C* r er9 th <br />EH Specialist: Phone: 2409 ...s-C <br />Time in: Time Out: Pagiof i <br />END 16-24 (2^d pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATIO