Laserfiche WebLink
SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siqov.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />(.51— '4- e.) 6790"1“ -C2 • i-t e <br />tt 4 )( but 1 : city 3 6 2. Anrn poast,r , Date: (— / <br />Address: <br />3 cc-D A/ utl ilsevi 91/296160, Zip Code: 0 s— 2.0 1_,_ <br />Owner/Operator: Telephone: I <br />Program Element: Program Record: 1- 1 R 0 5-3 4/ qg i Inspection Type: <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Hs /0 2- -r- <br />i 2,o f elk) )4-m7 <br />inai m em 4,27b e i kel „tr. <br />A) o (le Vect karv 0 4 s .,..ii-r,i <br />47 & 'SS tdr_e 0 M.ez- • 5 26 20 <br />Item/Location Temperature Item / Location Temperature <br />Food Safety Certification Facility Hot Water Temperature VVarewashing <br />Name: Hand Sink: 0F Chlorine: PPm Heat: 0 <br />Exp. Date: Wa ashing Sink: 0F Quat. Amm.: PPm Other: 0 <br />Received By / Title: -e"- <br />y Vf 3Se <br />EH Specialist: <br />i <br />Phone: 2 e) Ivi-- rie <br />Time in:Time Out: Page of ' 30 <br />EHD 16-24 (20 pg) 413113 FOOD PROGRAM OIR CONTINUATION