Laserfiche WebLink
SAN JOAQUIN COUNI-f <br /> <' ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> a4.,.s ....;P Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.s gov.org/ehd <br /> 4�FOR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: q-26j-/Z <br /> ddress: / .G City. C�C ,�� Zip Code: <br /> caner/Operator: hb-on v ' V Telephone: _ <br /> Program Element: b Prbgeam Record: O .�.J InspectionType: <br /> 8180 Posted Yes [I No Permit Posted Yes [] No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> W '�!e✓1 -1 - Con <br /> wo r n <br /> ► Lfi2u So -I-i t5r1 s not 6n -k . 6a (u4=,nz s <br /> a er i 4t, r4C4 2,vorpyn Q.r.ta.+ o Y- Do pprn <br /> Y4D w C 2 <br /> a, au Lc, n-omet M o�._ r <br /> �%LA& Apwzksbtll U r, <br /> -moo✓ns s._ -60 1& Gol!.G warm c ctx <br /> ode - u1P_eK <br /> 3 <br /> ern Ger v -l- Lo <br /> b,ra vhi - glom Grove Erl-niur-e- d-'1 Z) <br /> C'i ' � o f-E I co in ct n4nm-k o r 4-eL 1,7 - -(-_s o <br /> -k- <br /> Item/Location Temperature Item/Location Temperature Item I Location Temperature <br /> ood Safety Certification Facility Hot Water Temperature _ Warewashing <br /> Name: I . �I Hand Sink: =F hlorine: ppm Heat: =F <br /> Exp.Date: Z_ C) arewashing Sink: 'F uat.Arnim.: ppm ther: 'F <br /> Received By/Title: �9 <br /> EH Specialist: fajaAri I. - - Phone: 513-7O I <br /> ime in: I O i I S �U/J Time Out: O./ 1 �O Page Lof / <br /> EHD 1&24(2^^Pg) 0112 "t FOOD PROGRAM OR CONTINUATION <br />