Laserfiche WebLink
SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />... a Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.s'(iov.ora/ehd <br />qCl F<3 A� <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: Qe n <br />Date: 1-11-2-3 <br />Address: 1 oj <br />City: r, , <br />Zip Code: RS 6.(, <br />Owner/Operator: 24,7 1 ( u S 5 C' t <br />T <br />Telephone: <br />Program Record: V <br />Program Element: t 6 2� <br />S (c 5-- <br />Inspection Type: )2-C) L-- <br />SBI80 Posted 5z -yes No Permit Posted /-Yes No <br />Re -Inspection on or After: <br />VATIONS <br />�- 0. <br />t -Q-e ---S . <br />Y'-Cf r Pro (-car Plea re S'- ft -Q- <br />C-0 <br />cr24SIZ ��� <br />aiti nj2jo <br />L4 I F77(Ac—er S da <br />or <br />Item/Location; emperature" - <br />34 PrIe <br />Tempa re- <br />tM 1'4 Ott_ <br />OOJi <br />Gl }17e55 rj%' l G <br />C Q r r S <br />r R <br />4t� <br />(prep c t^�r cu.i�p (1a <br />�r.tc poor <br />-n�4r Soda {o` <br />Dodd Safety; Cerdpc, .., <br />Facility Hot Water Temperature <br />Name: <br />Hand Sink: <br />IBJ "F Chlorine: -5v PPmeat: �F <br />Exp. Date: 1 - �- 2 <br />arewashing Sink: <br />-F uat. Amm.: <br />PPM her: -F <br />Received By/ Title: C <br />p '% V <br />EH Specialist: A .foot Ict^43 <br />,W <br />Phone: wG <br />/ <br />6 ,D <br />me In: '2 -..CG <br />Time out: = 0 Page2of2_ <br />.3 <br />EHD 16-24 (2b pg) 4013 F000 <br />