Laserfiche WebLink
oRA"'"••c SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> {c Fs}+p Telephone:(209) 468-3420 Fax.(209)464-0138 Web:www.sioov.oro/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: -r Date: // 3/,777777 <br /> Address: I City: Zip Code: <br /> ner/Operator: /S14 Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> 6180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> BSER I/ATIQNS AND CQRRECTIVE ACTION <br /> J v <br /> Wr <br /> I lel! l ! — <br /> p .1 CAW — <br /> d1 — <br /> a <br /> 9W11 771�10 <br /> r' <br /> — <br /> �a h Gv/� — <br /> (� L l <br /> n1 161 J l�rv, <br /> — 91r— <br /> Temperatuq <br /> 4-e /l <br /> 1 �6r C� S rye <br /> of lGw ,h Arr y rl* f-Id[I/ D <br /> lopr�dl>�GYl1 d F <br /> ood Safety certltfca Facility Hot Water Temperatq Warewashing� <br /> ame: Hand Sink: of hlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: -F uat.Amm.: ppm Other: =F <br /> Received By/Titl .. <br /> EH Specialist: Phone: TA b <br /> rime in: Time Out: g of <br /> EHD16.24 (2n°pg) 4013 FOOD PROGRAM OIR CONTINUATION <br />