Laserfiche WebLink
0YAWy O. SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Le <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: { f rF'95 Date: f <br /> Address: �Q� �� OFw -yz A L t'7F city: ��p c Zip Code: <br /> Owner/Operator: I Telephone: <br /> Program Element: g,, f � ogram Record: 6 ! S� L�r 1 ,,So•7}� 1 Inspection Type:� P �✓�� <br /> SB180 Posted Yes N_ / Permit Posted Yes F 4NJo / CJ tie-inspection on or After: <br /> BSERVATION P CORRECTIVE ACTIONS <br /> _ <br /> Gt1 — 4 IR 44 Z N <br /> � n <br /> .Sa VS <br /> Z2 V G US�lN <br /> ao , <br /> c.tJ f- o L5-* U r c 6 rs. r <br /> 7 ! � e <br /> c (� <br /> l <br /> ! ✓ G C� = !t 1'9 � � <br /> f!1( C l V nv <br /> C_ 1�' I? L _7. <br /> Temperature item!Location _ emperature <br /> L-- <br /> $ale ;Ge[tillcaifon - Facility Hot Water Temperature Y Warewashing <br /> r5it, <br /> Hand Sink: 'FChlorine: Heat: "F <br /> Warewashing Sink: F Quat.Amm.: ppm Other: °F <br /> Received By/Title: <br /> EH Speclalist: Phone: f•� <br /> time in: INA — y T; JQ l Time Out: PageZof, <br /> EHD 16-24 (2n0 pg) 413l13 'I FOOD PROGRAM OIR CONTINUATION <br />