Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q..,• ..�;iP Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.orq/ehd <br /> <<FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: (U1 I <br /> Address: 2 2- City: 7s Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: i G Program Record: 1`4 :2--> Inspection Type: <br /> SB180 Posted Yes` No Permit Posted Yes No Re-Inspection on or After: <br /> MOM <br /> y- — <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> �S - 0 t0< <br /> S 4 <br /> -—� <br /> Temperature. Item/Location s rtpera�tl : <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: �'F Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: I <br /> EH Specialist: <br /> TimeA,,e 11-e <br /> in: Time Out: Page -9f <br /> EHD 16-24 (2°d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />