Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95295-6232 <br /> • COC r a• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: i^\ �1 - i �.'� _ `�rl� A. . ` Date: <br /> Address: 1 2.- 1 ` V , 1� City: ' Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: l � Program Record: r� -� Inspection Type: <br /> F-80-B180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> po <br /> •�- 4OBSERVATIONS AND CORRECTIVE ACTIONS ' <br /> t0 <br /> J <br /> f ItemlLocation Temperature Item I Location Temperature <br /> Food S!ffe_ty Certffication ' Facility Hot Water Temperature , Warewashing <br /> Name: land Sink: "F Chlorine: ppm eat: "F <br /> Exp.Data: arewashing Sink: of uat.Amm.-. ppm ther: of <br /> Received By/Title: 1 , <br /> EH Specialist 1l� , Phone: 'J j >� ^ } 2 .S \/_ <br /> me in: Time Out: Page�f .q <br /> EHD 16-24 (21d pg) 4rV13 FOOD PROGRAM OR CONTINUATION <br />