Laserfiche WebLink
SAN JOAQUIN COUN' <br /> y ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q: a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq.. a o • Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s'gov.org/ehd <br /> �IFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: _ :, Nwsi- Date: <br /> Address: 190 ^— XAVV <br /> City: Zip Code: <br /> Owner/Operator: ��J� e Telephone: <br /> Program Element: � Program Record_41PAUZZ3 <br /> Inspection Type: <br /> 6180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSER'1t'ATIPNS AND CORRECTIVE ACTi�NS' �` <br /> �r <br /> . s e <br /> r" OIi� d4J 4+t 8.� <br /> ode <br /> oe <br /> �son <br /> � <br /> s <br /> Item/Location Temperature ` Item I Location Temperature <br /> I <br /> Food Safety,Certification Facility Hot water Temperature warewashing <br /> Name: Hand Sink: F Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Ouat.Amm.: ppm Other: of <br /> 4 <br /> Received By/Titl <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page of <br /> EHD 16-24 (21"pg) 4/3/13 ,� FOOD PROGRAM OIR CONTINUATION <br />