Laserfiche WebLink
C <br />.�° SAN JOAQUIN COUNTY <br />N, ? ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sagov.org/ehd <br />�FOM <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: 7777 <br />Date: Z /—ID -Z 3 <br />Address: w / <br />L <br />City: <br />S O oN ZIP Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: Program Record: 5Vol yrInspection <br />b <br />Type: t' v n- <br />SB180 Posted Yes No Permit Posted es No <br />Re -Inspection on or After: I 2iiz 2J <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />S vc� on <br />6 -es <br />- L ; <br />1-7 Ion kv 13-t J <br />l — �Fl z <br />4 <br />A <br />--// <br />TOw[ l / <br />z <br />ved4f4 <br />e 11 <br />DWI <br />C'14 V <br />G o /o <br />l-_0 <br />15u( <br />- <br />/ h i PC 7 PaLr <br />C o <br />/r <br />e Le ca / rl <br />✓ E, o< E <br />a e <br />-Disc ej, . <br />Ite cation <br />Temperature <br />.. . <br />'' tem / Location, <br />Temperature <br />CL ILI <br />I <br />L <br />Food Safety Cerliflcation <br />Facility Hot Water Temperature <br />Warewashing <br />Name: <br />Hand Sink:J <br />eF Chlorine: ppm Heat: eF <br />Exp. Date:y <br />arewashing Sink: l O <br />'F Quat. Amm.: ppm ther: 'F <br />Received By / TiBe: ( S C U S <br />e i <br />,✓h A," a <br />EH Specialist: A _� <br />Phone: <br />ime In: S M <br />Time Out: S Page of <br />END 16-24 (2" Pg) 0J13 FOOD PROGRAM OIR CONTINUATION <br />