Laserfiche WebLink
PquiN <br /> ° SAN JOAQUIN COU_ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.siaov.org/ehd <br /> �/FpR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S 4-et r✓ b ItiCKS Date: <br /> ddress: cit <br /> 4I Q 3 C— m O r�O� �� y' �'-�-'D GI��rl Zip Code: 9 5 2 12 <br /> Owner/Operator: Lel A Telephone: <br /> Program Element: i b 2 Program Record: P R 2� Inspection Type: 2� <br /> 6180 Posted / Yes ❑ Permit Posted Yes ❑ 1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 110 U d a (• -+41�L ; <br /> at hrtryd- cC) <br /> U ° <br /> r <br /> All <br /> Vco r 'ne <br /> S <br /> QCT <br /> 2p 00 r CC,0('0 r 3 ° F C&WAtf emon ° <br /> 1 Nan ca�lele- 'i 3��Iwk'69 z&vF me�N d- A4 monn— <br /> Z- 1 r o °�� <br /> Food Safety Certification I Facility Hot Water Temperature I Warewashing <br /> Name: Hand Sink: 1 of (Chlorine: ppm Heat: .� 'F <br /> 1 L <br /> Exp.Date: Warewashing Sink: ! of u�tNft-4, � ppm ther: of <br /> Received By/Title: <br /> EH Specialist: J$ Phone: -y <br /> Time in: '1 M '!!Phe Out: , AA Page f <br /> c� <br /> EHD 16-24(2ntl pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />