Laserfiche WebLink
SAN JOAQUIN COUN' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q. app Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sogov.org/ehd <br /> �/FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �h Date: <br /> Address: /a / City: C Zip Code: <br /> Owner/Operator: / Telephone: <br /> Program Element: �/�' Program Record: Inspection Type: <br /> SB180 PostedLYes-cam No Permit Posters No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Z�b <br /> o� <br /> Item/LocationTemperature Item 1 Location Temperature <br /> as <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: / of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: / of Ouat.Amm.: ppm Other: of <br /> Received By/Title: C <br /> EH Specialist: �Ga Phone 3� <br /> Time in: Time Out: / Pago of <br /> EHD 16-24 (21d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />