Laserfiche WebLink
aPa"'"• SAN .JOAQUIN COUP <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �... p.. Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.si_qov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 00 i I U 22@s <br /> Date: ' 30 <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: 1(000 Program Record: /' O G 04A U5a-(,/ Inspection Type: <br /> 8180 Posted O Yes EIPermit Posted l' ❑Yes ❑1 Re-Inspection on or After: �— <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Cruel Ii s1 rtn Ir i 1 i <br /> nO weQ, ami birriiz� .\ -W\-& )U 01e9K or on <br /> 19-W 00- <br /> Item/Location <br /> tItem/Location Temperature Item I Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: and Sink: 'F hlorine: ppm eat: 'F <br /> Exp.Date: arewashing Sink: 'F Quat.Amm.: ppm Other: of <br /> Received By I Title: <br /> EH Specialist: Phone: <br /> wc4 <br /> _ 6 <br /> Time in: UTime Out: 1 ' <br /> rl e of <br /> 0 Pag <br /> EHD 16-24 (2^pg) 413/13 "f V FOOD PROGRAM,OR CONTINUATION <br />