Laserfiche WebLink
" SAN JOAQUIN COUI <br /> p .. <br /> �O. .CGG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> �iFo'ea <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: £i V('TLk �Qt aq F-clot Date: 2) 29 <br /> Address: i '50 S. '5 t�1 V T-ad G �•.� City: S•DG+fin Zip Code: q c5,?-u 2 <br /> Owner/Operator: Pe in(.3 C� E ��,c(',�i. Q(' Telephone: A-(61 — 02�)2_ <br /> Program Element: I 60:L Program Record: C, OCA UG Z �q Inspection Type:CCi1�1 Q Un <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> sly o I, \4 6u b�, <br /> �- i'n cooler 15. O '-, to u Si- to tvf ur- .eiokw <br /> Gaifi Ur1 CUA iL . <br /> 1 ; •� - qtr .� S , ! C� � 1 cn , <br /> sur,_ ti Lx_e+ d u4x"elf <br /> . <br /> clw � v k V-Lf'C- WW <br /> �cl rc-�n�rlt�lr C C'l A-e . _ <br /> Item/Location Temperature Item/Location Temperature <br /> Work in <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: v - a Chlorine: Heat <br /> �'�:�"f Int' L�6� Hand Sink:'� � G l� F u ppm of <br /> Exp.Date: Warewashing <br /> /Sink: fZ , 1 aF Quat.Amm.: ppm Other: of <br /> Received By/Title: / ,'S �,ll - Ur ,fi'� 21 N L V <br /> EH Specialist: ` Phone: <br /> Time in: Q _ 3U Time Out: i u ;o Page of <br /> EHD 16.24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />