Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> :. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> �r�oR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: M Date: <br /> Address: j, { City: Zip <br /> Code- <br /> caner/Operator: ��ff Telephone: <br /> Program Element: ' � � ��S Program Record: or2r/f l�-0 yo Inspection Type: <br /> SB1 Posted Yes o Permit Posted Yes No 11 Re-Inspection on or After: <br /> OBSERVATIONS AND CORREM71VE ACTIONS . <br /> plow <br /> h <br /> 5 p <br /> h l p 2�. <br /> 0.4 <br /> a <br /> f - 4- <br /> 4-4 <br /> { <br /> L <br /> iref� <br /> �x ors �• .-:, � � i��w�. <br /> IterM ocatio' _ _ Temperaw •' Item l t-ocatio r e nperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Hand Sink: F Chlorine: ppm Heat: of <br /> Exp.Date: �arewashing Sink: 'F Ouat.Amm.: ppm Other: of <br /> Received By!Titl . <br /> EH Specialist: � �o � Phone: �G� _�P �� <br /> ime in: Time Out: Page 1of <br /> EHD 16-24 {2n°pg) V3/13 FOOD PROGRAM OIR CONTINUATION <br />