Laserfiche WebLink
SAN JOAQUIN COUNT-1' <br /> 2. ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q• a <br /> a: i< <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • •�,A�FU•M1�`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: <br /> Address: S. dity: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: /6 Program Record: Inspection Type: <br /> SB180 Posted Yes :i No Permit Posted Yes [] No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> to Y e bGJ !n <br /> 01-,Va oar f W 1' <br /> oe o dt d res 't cc6ee�h ati sa.0 <br /> Adpor %` -S o�rd �eftje. kLP— 01,L) 41119,F a;' <br /> T r i%/ vLe� v►'10 <br /> - P - n s�� ,�ze� Sal coi/eco <br /> q�2/d Cc=s <br /> ILLI Q c Wre a <br /> "-,7 ,4,;," F" Cin c! a soh- ca c <br /> as a-S; hee d <br /> aZ r ??�iU rrWzeA to OF s ft S� Cbo 5 —ok <br /> 1dr, U ce, co ' - C 3f 7 <br /> ;(Olt - Skde if 36 'f= S f r sV;n5 .4o. <br /> _k k ,n s r� <br /> Ti r `to"F r G, f �� eyD <br /> F ..m .j ' <br /> ` - '8'"`ocation �' Temperature ' Item I Location Temperature Item I Location em t=ire <br /> r r su 1 `t6-- - SK - coo L E <br /> r ru <br /> a ' CertlflcatI n Facili, a ,,., Warewashing <br /> Name: _ a Hand Sink: UD 'F hMn SO ppm Heat: 'F <br /> Exp.Date: — o� _ e asking Sink: of Quat.Amm.: ppm Other: -F <br /> Received By/Title: 0 - <br /> EH Specialist: Phone: <br /> Time in:/0:—/0 A Time Out: lif 141 Page of <br /> EHD 16-24 (2-Pg) 419112 FOOD PROGRAM OIR CONTINUATION <br />