Laserfiche WebLink
SAN JOAQUIN COU �( <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> <P Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> 9 5;6 Vi <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: SOS Ta��5 . O)•� Date: <br /> ddress: -130 r1 _ Lt'�prr,Lt0. City +0 r, <br /> Zip Code: <br /> Owner/Operator: rYve5 I Lest-O Telephone: <br /> Program Element: l Ito OO Program Record: �00 3M 2 12 Inspection Type: ww/�„mP yt <br /> IS6180 Posted *Yes ❑ Permit Posted Yes ❑ 1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Da G a t� LL0 n - O_Lt'+5 i 8,-- 4-y-u- cj &-x- <br /> )t <br /> -- <br /> 'hT'1 <br /> 0 hrz�� <br /> r1 <br /> r' <br /> iD �-fian5 <br /> n U)a-1-e.r (�5 "Of a v Cxi lA,h C .'_ � � � Ck MA ez L d t,+.s a.4e_r <br /> "L k LA_ cA aA 4--i <br /> a ,.H rvo 4- " ,A," <br /> l u 6e_ -4� cA <br /> L %�'t-3 f i.rn n'.f CL . <br /> C)vte. 4-D i Cali tit :5 l eA n A 2 5 V t l�,t` l_c_ c� S <br /> Item/Location Temperature _ t; Temperature <br /> b � <br /> ' _ "..., <br /> I <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: °F <br /> Exp. Date: Warewashing Sink: of Quat.Amm.: ppm ther: of <br /> Received By/Title: 01 <br /> or w— 1(Yl Qy)-fit'5 <br /> EH Specialist: n 1,� Ph 3, n <br /> Time in: !� V""` Time Out: L b l D Page of , <br /> EHD 16-24 (god pg) 4/3/13 J FOOD PROGRAM OIR CONTINUATION <br />