Laserfiche WebLink
SAN JOAQUIN COUWtY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> a Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> ,G/FOPN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> 2eFa : Date:' City: S Zip Code:: /i Telephone:Program Record: O Z C 'nInspection Typv e" n �Yes ❑ No Permit Posted es ❑ No V Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Nd 1 <br /> ✓ t i c l r — 3 ' �vre, <br /> Item/Location Temperature Item/Location Tem rature Item I Location Tempe'rat6re <br /> o� iW 3 — , <br /> / —= <br /> .: Facility Hot Water Temperature Warewashing <br /> Name: a Hand Sink: ItsaF Chlorine: ppm Heat: =F Jojj <br /> Exp.Date: '1 7i arewashing Sink: C of Quat.Amm.: ppm Other: of <br /> I 1(vReceived By/Title: ' d�U <br /> EH Specialist: ,^ „ „ Phone: f <br /> Time in: / 3 Time Out: 0 Page of <br /> EHD 16-24)2-pg) 4/9/12 FOOD PROGRAM OR CONTINUATION <br /> 1 <br />