Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .. p. Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 0 i i - Date: Z <br /> Address: City: Zip Code: <br /> Owner/op ata : Telephone: <br /> Program Element: /_ Program Record: 2D Inspection Type: <br /> S8180 Posted Yes G' No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND COO Tim <br /> c ✓ <br /> G. ' Q 0 4 Wr} ✓6 Qappwt C <br /> f e <br /> P4-0✓,'ryz 5lraw i cam- <br /> 10 <br /> T ' v <br /> cr v <br /> ,r <br /> D t A 1 o <br /> Temperature Item 1 Location Temperature <br /> tion Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: "F Chlorine: ppm Heat: of <br /> Exp. Date: arewashIng Sink: `F uat.Amm.: Pp ther: `F <br /> Received By 1 Title; <br /> EH Speclallst: Phone: r Q <br /> ime in: d Time Out: / Page of <br /> EHp 15-24 {2^4 pg) 413113 ` (� FOCI PROGRAM OIR CONTINUATICN <br />