Laserfiche WebLink
PQM'" SAN JOAQUIN COUNTY <br /> Q` ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q.. . ..�;;P Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> �i .60 <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: A h Ti Date: <br /> Address: fA City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: p_-4t_ Program Record: n �1(,� Inspection Type: <br /> SB180 Posted Yes 17 No tD Permit Posted esl No 1 1 Re-Inspection on or After: <br /> -000 <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> f <br /> • a / ' [S `I/VI YN �-t. <br /> VW IjA <br /> et- !t <br /> a <br /> Ott- 4a rnn��14 OL\,,C . V�" 6 6 2 X, P". <br /> t Locatia mperature Item I Location'' <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: L Phone: •�, r 11 �l _ 0�3 <br /> Time in: Time Out: "LIDTJ Page of <br /> EHD 16-24 (2°d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />