Laserfiche WebLink
SAN JOAQUIN COUR <br /> P • <br /> N: r :< <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s'gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: PLU <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: 3 Inspection Type: <br /> SB180 Posted ❑Yes ❑ Rermit Posted ❑ es ❑I Re-Inspection on or After: <br /> l <br /> w `lV — oA- y - - <br /> 1 <br /> AA <br /> Temperature Item I Location Temperature <br /> Food Safety Certificaori >` ►itty tiot Water Tom rature Warewashing <br /> Name: Hand Sink: 'F 'Chlorine: ppm Heat: °F <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm ther: F <br /> Received By/Title: t <br /> EH Specialist: Phone: <br /> Time in: Time Out: Pag f <br /> 3 <br /> EHD 16-24 (2n1 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />