Laserfiche WebLink
SAN .JOAQUIN COUP _ <br /> )o 'cOG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> tn: < <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �;.. ip Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.siaov.org/ehd <br /> t/FORM <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: - —( _774-77 Date: <br /> ddress: \ �J USS City: u��� ,-7` Zip Code: 9 � <br /> Owner/Operator: -� LLC Telephone: <br /> Program Element: q t N� Program Record: , t Inspection Type: <br /> 6180 Posted `vJ ❑Yes N Permit Posted Yes ❑1 Re-Inspection on or After: ,W <br /> 28SERVATIONS;AND CORRECTIVE CTt �tS r;.._.. <br /> CGS, <br /> -F <br /> r4 AIR <br /> Ci <br /> 1 �r <br /> I� 1 <br /> e <br /> 1 <br /> 1 1 <br /> emperature <br /> \� t 1db F Ir-�c�lc� l bt <br /> 18 — <br /> yl 3b IF <br /> Food Safety Certiticaton Facility Mot Water Temperatu ware washing <br /> Name: AN\ �-4�A Hand Sink: ` of Chlorine: ppm Heat: of <br /> Exp.Date: _ ` 2O` arewashing Sink: of Quat.Amppm Other: of <br /> Received By/Title: <br /> EH Specialist: 1 _ Phone: ' 2 <br /> Time in: '2, Time Out: 2 2 5 J Page,of,? <br /> EHD 16-24(2"d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />