Laserfiche WebLink
+-�>.-y '.-�y'�.�E�,.~ l Y'F "�',_ ��1�Y."��, ti"r ..�.'•�k�"-_.�l`�:.y. "�."H+���ir' r-r - .-a. - - ram''" w. ,. ,. , <br /> SAN JOAQUIN COUNTY <br /> 1•�F�•Fo <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . q.•„ ;a• Telephone:(209}468-3420 Fax:(209)464-0138 Web:www.sogov.org/ehd <br /> . <br /> tradA�' <br /> FOOD PROGRAM OFFICIALINSPECTION REPORT <br /> Name of Facility: [.:N V 1 .lS 5 r"lr'1 1- i -V- ! Date: C) L 1.... <br /> ddress: -) City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: C Inspection Type: <br /> B1$o Posted Yes No Permit Posted Yes No Re-Inspectlon on or After: <br /> +� OBSERVATIONS AND CORRECTIVE ACTIONS ; <br /> V <br /> Item/Location Temperature Item/Location Temperature <br /> �} Food Safety Certification 4d Facility Hat water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine., ppm eat: -F <br /> Exp.Date; WarewashIng Sink: "F uat.Amm.: ppm Cher: -F <br /> Received By/Title: Z ! _ <br /> EH Specialist: t" 7 Phone: <br /> ime in: Time Out: Page of <br /> END 16-24 (2i0 pg)VY13 FOOD PROGRAM OR CONTINUATION <br />