Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • •. :P• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s64ov.orCl/ehd <br /> 4�ig <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: rti/ e �� ✓ 1-./sue- 1�,1�) �'•� r � �f=Date: 0, 2UL <br /> Address: �' 5 Cit Zip Code: S 7 <br /> Owner/Operator: 7� Telephone: <br /> Program Element: �� Program Record: Inspection Type: <br /> B180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> R <br /> r <br /> p r' <br /> c � <br /> C<D -J &.> 'LX_J <br /> tom! S� f....�` N c= ��� i•'� <br /> /�r l <br /> Item/Location Temperature Item 1 Location Temperature' <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: �F Ouat.Amm.: ppm they: of <br /> Received By/Title i <br /> EH Specialist: Phone: .0- S 6 <br /> Time in: ' no Time Out: �� ;; I J<'' �? 6 Pag f <br /> EHD 16.24 (2ntl pg) 4/3/13 f/ FOOD PROGRAM DIP CONTINUATION <br />