Laserfiche WebLink
SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siciov.orcilehd <br /> <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: -7--- LA Date: 2- LA _ 2. '. <br />ddress: \ \ c..) \ Okle1 ,._).,...-_,) ,...„ &-k-- Cityi---7,- Zip Code: oci s---ff. Lo <br />1 LA C.. <br />Owner/Operator: <br />j <br />Telephone: <br />Program Element: Program Record: •---- C-2).R- a Inspection Type: <br />S B1 80 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />1 <br />002- 2ci 2_ 0 LA 0 -i--s -2_ <br />erS\---,p c V\c-r- Vo---2 • ,--1 /4._\<-skt--, ,_..1z pkcL-c_s2 <br />?e,<" iN------k-S cA.re (--..5- ---.\-c a‘N --Q r sc k-Dl-e_ Cn-f- CI o N C. hc-41 <br />(\ -,p_sa-,---Y.../: 1 /4.SV \ r\PegA/2__ -k-\.. 0 CC ¼J r [ t 1-9-15 <br />? \ e°VC Cr\ -1C-C`-cj kr\ c)(ac.,-Ly- AsIA-P <br />0, pc.),,,e ( C.(- \ a \ _41-€..... re--2_ v...,-, \ 1 Vic, eor\-.:::., \e 6 . <br />V...a,e0.(\(-\Q L'\ ,r-\\(0\1 e-S <br />2Oq - ko. \ ko- •B 2-S <br />\rN: (c--- _-_, @ <br />0 4: cX_)i_Nit- 1 d 2.-1- 2S <br />)r).---\ --\- (),,r C es, <br />Item/Location Temperature Item / Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: .F Chlorine: ppm Heat: °F <br />Exp. Date: Warewashing Sink: °F Quat. Amm.: ppm Other: °F <br />Received By / Title:G 6)Z1 FL. /Ora U E Z. .4-,-- <br />EH Specialis • <br />0Y-31--Q-c--1—Q- \f"\r-CA./—° <br />Phone: <br />... <br /> <br />Time in: \, Time Out: Page of CiNe\r \ k i <br />EHD 16-24 (2,d pg) 413113 FOOD PROGRAM OIR CONTINUATION