Laserfiche WebLink
o¢au"" SAN JOAQUIN COUNTY <br /> y' zj ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �;.., Telephone:(209) 468-3420 Fax. (209) 464-0138 Web:www.sogov.org/ehd <br /> c+Fb�a <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ` 7 7,r„ Date: �.— <br /> Address: QI ,r'/ 'lo City: I Zip Code: 9 <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: ��rJ ��O r Inspection Type: <br /> 8180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: , <br /> OBSERVATIONS AND CORRECTIVE AC <br /> V le <br /> i' — 2 c <br /> ' <br /> r,r r G � ✓ <br /> r <br /> oe pA ! <br /> '7K LA, ht. ZZ, Iti j ` <br /> - & �o � <br /> 4" 9 < < <br /> emperature <br /> 9. Facility Hot Wate�.YBAperature Warewashing <br /> ame: Hand Sink: 'F Chlorine: ppm 'Heat: J'F <br /> Exp.Date: arewashing Sink: 'F Quat.Amm.: IDIOM Other: <br /> Received By/ <br /> EH Specialist: <br /> Time in: Time Out: G- O Page #of 7 <br /> EHD 16-24 (2^ pg) 413113 F001)PROGRAM OIR CONTINUATION <br />