Laserfiche WebLink
SAN JOAQUIN COUN <br /> y� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.slgov.org/ehd <br /> �/FOfRt� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: U \,_ �� %Y + 1, Date: (G� 14 <br /> Address: U ry\ City: �tL.- -up Zip Code: qlo_GG <br /> Owner/Operator: G m ;�" Telephone: <br /> Program Eleme1 �2� or Program Rec2� Inspection Type: , <br /> SB180 Posted Yes t No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> ... .. .. .:.. <br /> too d lu why of iq�Lw �Z* 7 tow <br /> - aS �:Oa 0 . SS' e <br /> Sa� fs T n 'IjZkar, i nisi Cofg S, do., In w r-. <br /> BLkt Ch )IM cAve , CcNex- <br /> ase"ed S W) Nto-karl Mou . 'C"W all <br /> n IVN u 1cOx :rte <br /> Coa TXQr Vq qAe, ��1 u - Wan izda <br /> CAr -\�2 , 1� CO- lO`f. JSP It `''F car <br /> WLIP COS S aFZ Old i +bda <br /> 0 ad Mk4C CArd el- (;�_ cA.Od CoCX tZaCh2S on CL SA <br /> l In 1 Cv, �M Un " f) in <br /> Item/Location Temperature Item/Locationi Temperature <br /> t Com- 2f in6 �, <br /> 3d1- I�Qi �s la aocl 4WL9Wi{2 <br /> r 1C4?N VAS AM- otym an <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: k Isfia-I 6 Hand Sink: I / � 'F Chlorine: ppm Heat: F <br /> Exp. Date: ` Warewashing Sink: ( � T� 'F Quat.Amm.: --`��1 ppm Other: 'F <br /> Q ' 1 V <br /> Received By/Title: <br /> EH Specialist: Phone: b <br /> b <br /> QGJ (_ <br /> Time in: -0 <br /> Time Out: VAI IU V �J PagQof 2, <br /> EHD 16-24 (2"d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />