Laserfiche WebLink
0PSAN JOAQUIN COUNTY <br /> tNVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . •.. ;P• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s'gov.org/ehd <br /> 9CjFORia <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: y)(PA40pelpsIb Date: fit <br /> Address: City: S-10cl�-tun Zip Code: S � 6's <br /> Owner/Operator: w�l �, Telephone: / 0L._" (� <br /> Program Element; LC � Program Record: �j 3 O� Inspection Type: �!J <br /> SB180 Posted _ es No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> i N• � I s .i n S� t� 'S �t�vNl _ 'P�w-�c1� �� . <br /> �u �(DS )ns 'w UN e ta'S 'tRcxSM h o�- ;n ick <br /> Crli SSR - � 1 a�e �n Si U <br /> .Z VK <br /> Item/Location Temperature Item/Location Temperature <br /> MOP s � is <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: c) F Chlorine: ppm Heat: 'F <br /> Exp.Date: Warewashing Sink: 'F Ouat.Amm.: ppm Other: of <br /> Received By/Title: _ <br /> EH Specialist: Phone: <br /> Time in: Time Out: PageZof <br /> EHD 16.24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />