Laserfiche WebLink
P <br />SAN JOAQUIN COU Y <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />cq., iP Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.s'gov.org/ehd <br /><<PORN <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: i n Opt r- o <br />Date: <br />5 <br />Address: C1,5 )qv -.e— City: <br />tZip Code: <br />Tc� <br />c-eoXAqf <br />Owner/Operator: 1 ; �• C Y1 <br />Telephone: <br />p, S r]_ 3C)p <br />t <br />Program Element: i� Program R rd: P� D I i0 OS 92 <br />Inspection Type: <br />v I.. n <br />SB180 Posted Pes No Permit Posted,*Yes Yes _ No <br />Re -Inspection on or After: <br />Imam'! <br />i' i ') i4).fizp 6,,r 0 _. ^ eji , ri , -.o in, 14- n -C- to 0,0 ( %,A +- Lei, ­c <br />61 rl-e_ no {- Gu: <br />b <br />5 <br />dq oo d 1 4---on <br />c-eoXAqf <br />6ortl PkLAn <br />L2 <br />q h rs . <br />c <br />Ltet• -IG ►- se v=F r-_0 rrno,-7f- <br />i- A t Oil <br /><n "A <br />5r re cl, '� <br />7.In <br />• A'I <br />P blceLr k <br />-de r <br />Zvi C Y q <br />1 <br />-,h <br />es <br />co t j .e,n <br />oL4 <br />(4-17r. 56AD <br />Irs.- •.0 <br />o f <br />t o r <br />Lo t weir <br />+'c> cl u 1 <br />r <br />Go U -e- <br />YO uti, d <br />b Q_ <br />rn.GY7 <br />t?. as 4_3I� � + *� <br />e z?r �/L <br />n <br />la a , Pyo , <br />"L-3 <br />3 L <br />w ' + <br />rw <br />✓ 1a b-0 <br />1✓ <br />i <br />I -7- -13 d <br />nci r►u- <br />© cw r- m r"-0 n nq A' c <br />1,+2 <br />✓-C �►{ ^"fS <br />clu G'n <br />r <br />'11 of <br />957F ,.e- n vo d I,es of Lsv) <br />- <br />LA 1v f` o r <br />Loo r- <br />m,PA4- n <br />-e 7-P✓ ki-at S <br />n o <br />n <br />OI+ -vi % <br />- 1- <br />Item/Location <br />f Temperature <br />Item / Location <br />Temperature <br />f <br />c4tc-g-td <br />�� <br />cdl <br />CAD 40 (Q Y <br />LiI <br />"c1nc�1__�_12►���iek' <br />-- - <br />Food Safety Certification <br />- <br />Lie!_ <br />Facility Hot Water Temperature Warewashing <br />Name: <br />Hand Sink: ^ �' <br />�Lif eF <br />C orin ' ooPPm <br />H t;a <br />:7-O°F <br />Exp. Date: <br />Ware sh ng Sink: <br />in <br />of <br />Quat. Amm.: ppm <br />Other: <br />of <br />Received By/ Title: ?1O 1 /j{, <br />EH Specialist: <br />Phone: <br />Time in: ` d :,)-b <br />Time Out: //.v7D <br />Pag of� <br />EHD 16-24 (21a pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />