Laserfiche WebLink
a. .'" SAN JOAQUIN COUNTY <br /> = ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E- Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> C ' OF FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date m <br /> Address: ^ _ 4bAj 61WN b City: LJ Zip Code: j-V( <br /> OwnerlOperator: ) R 1yJf T SIl6G-(y Telephone:a Jto_2y86 <br /> Program Element Code: Program Record ID: Inspection Type: <br /> S(n <br /> Set 80 Posted ❑Yes FI NO Permit Posted G Yes No Reinspection On or After: <br /> ATIONS AND CORRECTIVE ACTIONS <br /> Pe,,-nlIlj it O C - ( E RErl <br /> f 5 17Qu ¢✓d5 AVo S/G-N v gr6Zry0- <br /> 1nO C- (ti STIPcE r 725,u <br /> "T14K Kue o W A/ ,,I ffCA-tl:6A) vk� <br /> rrt rloxJ — AND e>m�;rf <br /> w( L� 3F s - A Ew bang 2 c�ovsc c�nrio <br /> _.._ Item/Location Temp. Item I Location -:Tornio.x Item!Locations. Temp.' <br /> 0(y Hot Water TemperatD?e' Warewashing <br /> Name: Hand Sink: "F Chlorine: <br /> PPM Heat: 'F <br /> Exp.Date: arewashing Sink: °F Ouat.Amm. ppm Other: ppm <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF THE SAN JOAQUIN COUNTY BOARD OF SUPERVISORS. <br /> ALL DOCUMENTED CRITICAL HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT TO A REINSPECTION AND REINSPECTION FEE. <br /> Received By: - ry % Y �1 ��y) Title: <br /> EH Specialist: ,rp KWN ' Phone: <br /> Time In: l Time Out: "I y 6 J 7 Page: of <br /> FHO 16-23 i2ND PG) ] FOOD PROGRAM OIR <br />