Laserfiche WebLink
*FO <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.s'gov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: ''r,, <br />Date: <br />Address: Zy 2 �1�N p i City <br />I 7 <br />J Zip Code: <br />Owner/Operator: . �.P�,�� �l <br />Telephone: -223 <br />Program Element: l4 zv Program Record: Ro 16e3 27 <br />Inspection Type: po <br />Il <br />SB180 Posted 'Yes ❑ No Permit Posted X Yes ❑ No <br />Re -Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />%E VlS (T <br />/}Cr [.r nY r,@K- D1'504 -6Y w/ -IN A.*SC2uir_K i w D <br />3Kly;" allipAL1 ak' AM, 1- 9 = 12 �2 fT %v L r <br />/4-)L/E)--P, TN4-- 4.6-41 S77�7-e '4A96L) #t 5 A A4o uA (:n - ZD <br />A-4!:" LOA'151E4 -Q 2E 40-4,- /H/T. <br />140'k ve"e q Tpep'e / Co Ii•r_,<l2 /A) 7#,fT_ <br />&MI 9654 USED 70 V/t t dzv4y CoA6 7n ea n'"c e-5 <br />iS 1°RR+Fc� 4) l5 C.9u5E R #W7W/N1X4:i� 1�t qeA[7_1V 1�59r"(7", <br />caP - ►v/NG 7bT eimm o /,26*u.ST ;3C - <br />E <br />1A) S 1t C'1C-:A r_ QUAPrIU X /.4..t. <br />51,ur< Nrs M11_i r gs 7 7�2 m> CIVL J.'f0VI7d,e14z- <br />/Nk . To , P 7# 5 R R►+•i r T sE ,Vu3 r jr35 /A17-Aj-Fb /%1'0 1(M I &M4 'Ar- e---) <br />As AZ4_ 613 /3- ly,IND 51au-C 9'(MApsORP *4> FiF�2 TZ&*('5 IN .9 a(s1�s.eR, <br />/5 fIN/,c/T o kg�R s DEizRrVrA*Ps 7H9 T{,(° 6v/IL. Aot, A,&* R S'uFNy <br />7a 77r(Er lLus •25 <br />7 i*:k RE'Outie D19AAP 72W5 , I &V Li- <br />% /Z E2 Frr- o 15 <br />OR 7" u5 _' ;RE o T7 /ms'S Pzm -rWi5 0 E W i;' &T I <br />V ti / o � � P� oT N Gb2QE�T" M �97l�oiy OAl�K 7a�L <br />Sic )mprj. 94w, , I M r E4c / iu !110047 k,t Ma A P kE WMR 5' riu <br />o iD 6 PW NoTW ri %fie r /Cb -T ?C- 7a *'39fNReC]M' <br />Item/Location <br />Temperature <br />" Iteml Location Temperature <br />Item / Location <br />Temperature <br />!.< �� /► <br />Food Safety Certification <br />Facility Hot Water Temperature <br />Warewashing <br />Name: <br />Hand Sink: 6 of <br />Chlorine: ppm <br />Heat: of <br />Exp. Date: <br />Warewashing Sink: of <br />Quat. Amm.: ppm <br />Other: of <br />Received By / Title: <br />EH Specialist: Phone: <br />Time in:2 Time Out: ? ; Pagelof� <br />EHD 16-24 (2n1 pg) 11/2/09 �/ � FOOD PROGRAM OIR CONTINUATION <br />