Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> N: X <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �9,, ;P• Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: - Date: Z/\ <br /> Address: � City:—( Zip Code: p� �J <br /> Owner/Operator: �7 C e �� 1 Telephone:.-7_`,l O_'A �2- <br /> Program Element: `b2 Program Record:G`��` ,Q I Inspection Type: '1 <br /> 8180 Posted ❑Yes ❑ Rermit Posted 1 ❑Yes ❑i Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> l \� - -- <br /> 2A/,- Me f '41 F <br /> It m/Loci 'on Temperature Item I Location Temperature <br /> CU <br /> 33�' <br /> Food Safety Certification ;! Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of hiorine: pprn (Heat: of <br /> Exp. Date: r arewashing Sink: 1 of Quat. Amm.: ppm iOther: of <br /> Received By/Title: y \ _ mN UN\�A <br /> EH Specialist: Phone: <br /> Time in: ` f © Time Out: '`'�� Page of <br /> EHD 16-24 (2^d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />