Laserfiche WebLink
a"'" SAN JOAQUIN COL Y <br /> ?a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> cq.. iP Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.segov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: G-'25 - I y <br /> Address: rcI4 no, <br /> City: T1 O Zip Code: p/5 2O q <br /> Owner/Operator: uti as f-a- Telephone: <br /> Program Element: /"Q;�- olp I Program Recor 9CRO Inspe n T pel f zawU <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: Tr/ <br /> OBSERVATIONS AND CORi ECTIVE ACTIONS <br /> Fa U L" W i U &jw -tib L)', frx-� (ter r I''x4c---s 0 eL A Cao f+e e. U� <br /> +i---e- lL p r tv-f\1 nt l' -FO► e 1�.+ 5 +P' 3 n lu C.-a-_ w c t 4-e y- <br /> K w Sit s Ila U 64 i 6 L I-rte[ . Lk),a S 4,e, -fro,•-� <br /> L,u- n-cit.16P r to P,&{ S O el ._� n 5 k z L1 d-1 r-e C41 - <br /> Lvk� _�o Ol 4,00 Y- <br /> Q 19 A'k AA W 1- Y AAt C1 S b-1 , <br /> �I-g_� to a-ex re- f "S S-e 441 r t.t <br /> r <br /> rpt 7tD n'Fi a l tzar cc �f��F to k4e r <br /> m n p rc - a ,a a-s 1p le-L&.-, <br /> 0.1c- u <br /> Q • lL +0 cs 5 u.e + ?rte rc1 rn 1!p ! 5 F e--e N2-o3 <br /> 1U r✓I +-0 0-f ,c.P_ F.Aa oQ, u 12 CI Ta r -e_ !o S <br /> - rO 2(0Y <br /> Item/Location Temperature Item l Location Temperature <br /> - —........... -- -- - --- ------ -- - .. <br /> llU deo coaL Y <br /> "Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: H pSi_rlk:� ! of Chlorine ppm Heat: of <br /> Exp.Date: WareTshinq SiU of Ouat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: ;e L v`M Time Out: Ili,;Z C, O •/ Page of <br /> EHD 16-24 (210 pg) 4/3/13 '�1 FOOD PROGRAM OIR CONTINUATION <br />