Laserfiche WebLink
'Op,,a"�" SAN JOAQUIN COUNTY <br /> ........0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> -_ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209)464-0138 Web:www.segov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: VAt "'-t <br /> " -" Date: <br /> Address: -•9 j e /� r City: S � Zip Code: <br /> Owner/Operator: /')�l / Telephone: j� 7 <br /> Program Element:J V/� Program Record: /1 3 f. Aj / Inspection Type: ��A, U <br /> SB180 Posted Yes `v No Permit Poste Yes No ! Re-Inspection on or After: v`L <br /> 21 -yl' <br /> J4 01''149 BVI i S cf tri <br /> ti yVe 1A 11 c f xlb WaQ K--Irl <br /> `Wvyo, an ' <br /> >M �dc re aV a'f ,, s <br /> -� <br /> IV <br /> f, <br /> W1(f t <br /> dllwq- tay <br /> Item/Location Temperature Item 1 Location Temperature <br /> ✓vAll ZA7-+- wail WF daid4ro- <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> — - -- -....---- - - -- -- — ........... <br /> — . <br /> Name: ,+/` iL' —Han--d }-"� <br /> Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: 1 arewashing Sink: 7a of Quat.Amm.: ppm Other: ,F <br /> Received By/Title. V <br /> EH Specialist: Phone: <br /> Time in: t Time Out: Pagvof <br /> 1 , <br /> EHD 16-24 (21d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />