Laserfiche WebLink
4� n. SAN JOAQUIN COUN- <br /> ENVIRONMENTAL HEALTH DEHARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �4c/yawl;p Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sioov.org/ehd <br /> FOOD PROGRAM OF/-FICIAL INSPECTION REPORT <br /> Name of Facility: ui O ucP- K wo ( 2 Date: 5/4 <br /> Address: I()U b City: S �- Zip Code: q <br /> Owner/Operator: CcArAos Ju,Tp a Telephone: g4lb <br /> b <br /> Program Element: 1 Program Record: h 2� Inspection Type: '1171. t�—� <br /> 8l 80 Posted ❑Yes ❑ Rermit Posted t� ❑Yes ❑f Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> -nofi cm s 12i i i n a li <br /> U isS �i 2Lo <br /> Si SLfeSP-ft <br /> Item/Location Temperature Item I Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: and Sink: "F hlonne: ppm eat: "F <br /> Exp.Date: !rewashing Sink: 'F uat.Amm.: ppm ther: "F <br /> Received By/Title. A <br /> EH Specialist: Phone: <br /> Time in: <br /> 9 : L U Time Out. p ;�U Page of I <br /> EHD16.24 (2-pg) 4013 U FOOD PROGRAM OR CONTINUATION <br />