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.orglehd <br /> FOOD PROGRAM OFFICIAL_ INSPECTION REPORT <br /> Name of Facility: wry r Date: _ 7a Z <br /> ddress: .1 r A,CJ City: r% `. a Zip Code: <br /> OwnerlOperator: '+ Telephone: <br /> Program Element: f ` Program Record: `� � G S �_ Inspection Type: -" <br /> 5B180 Posted Yes /No J Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> or <br /> - /� A- r° <br /> C Jn C <br /> ✓ <br /> Q is! <br /> r <br /> I f . 1 r rla <br /> IterntLocatioA Temperature Item I Location - Temperature <br /> ti <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of hlorine: PPm eat: `F <br /> Exp.pate: Warewashing Sink: of uat.Amm.: ppm ther: `F <br /> Received By I Title: <br /> EH Specialist: e�Qr r— Phone: <br /> f + v <br /> Time in: ! j Tlme Out: 3 •t 3 d /-V Page o4 <br /> 3 07/10 <br /> END I6-24 (2"'pg)4lY13 FOOD PROGRAM 018 CONTINUATION <br />