|
FOOD PROGRAM OFFICIAL INSPECTION REPORT
<br />Name of Facility:
<br />,„4147741,471A,
<br />Ow ner/O per ator:
<br />Program Element:
<br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After:
<br />Address:
<br />044 tx 4 cu "n
<br />A /1 42 -ff Tat—
<br />Program Record:
<br />City:
<br />geolTelephone: S-2 7 f• t-i
<br />Inspection
<br />Zip Code:
<br />Date:
<br />SAN JOAQUIN COUNTY
<br />ENVIRONMENTAL HEALTH DEPARTMENT
<br />1868 East Hazelton Avenue, Stockton, CA 95205-6232
<br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.orq/ehd
<br />OBSERVATIONS AND CORRECTIVE. ACTIONS . .
<br />* C 210 D ......4 11,61`1 /
<br />rti . yv
<br />7
<br />e/r._, r- at - 4"/ _4;_ikiz..., i , 7 4 el, ILA- ,, _/ c.(
<br />,,) dX.- ..t.k.Alft-tik_
<br />Olvd- #6 (..'-tr- ,-/ _etl..e.4).4c.4i _.
<br />. er - • or c,..i.- 1 --( 0:4,(1) ,Itt•ti.?,-41.1„g.____. .•/2 i—i-14.122.. iv a,
<br />- ( 6t.f.ti i 0 0 I ^- "i 40 4e1/14kA7 L4'4/ ' Ja )
<br />a q_ At ,-- tt, ck ,-; A. 'k..-ip t., _ fp
<br />'44 C.ittit c,,,e yvi,vta ., ,v
<br />,
<br />- -'I
<br /> x (t" k ,•Cir
<br />C _a,..--D l- 5 - "7 -t-/ < t. 6,-----Kc
<br />lye,
<br />
<br /> 1 o c. ,,
<br />1-4 2- -? ..._I,
<br />-it -..., i/Ae 4"‹. ......,
<br />vie 4', peft. di ca.4.., i,, ,,,„_- 4 j x.,„/- (k.r-r-ZOL., - /40P ,
<br />,eivit,.4,44...,_ 442_41 ,,,,,, I Are it__ -4 44,4,1. CO-1•11,41-11,iya., ili i(.1-071."-
<br />1 ,&-•
<br />....
<br />. ,
<br />., Item/Location ,-.,_--,. , .TeiiiierSfUre, : item / Location 'Temperature , .
<br />Food Safety ,Certification Facility Hot Water Temperature , :'„ - , ., Wsrewashing .
<br />Name: Hand Sink: .F Chlorine: ppm Heat: .
<br />Exp. Date: Warewashing Sink: . Oust. Amm.: ppm Other: .
<br />Received By / Title: . /
<br />.--'..._3 pf.---- EH Specialist: Phone:oi,... .nc /...‘ ,:)
<br />.i.71-%
<br />Time in: Time Out: Page
<br />END 16-24 (2r4 pg) 413/13
|