Laserfiche WebLink
aPAgtH• c SAN JOAQUIN COUNTY <br />?a ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />. `4�/FatitiN`Y. <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility:Wpo'4to- <br />/�- <br />`. - / <br />Date: it <br />Z 3 77073 <br />Address: /Os/ <br />V/ <br />City: <br />Zip Code: <br />Owner/Operator: 1n / <br />�V <br />r <br />Telephone: <br />Program Element: <br />(� d- Program Reeo <br />: '6 SL s <br />Inspection Type: <br />SB18o Posted Yes <br />No Permit Posted' <br />Yes No Re -Inspection on or After: <br />J11 <br />WV!1� <br />i <br />0 S AND CQ ECTIVE CTIONS <br />V- [Viev <br />. <br />I <br />(4 <br />u Wwfz . <br />sl' W I <br />oig <br />C�h- <br />ww —►t ti <br />lohwlylle'Vbf, <br />_ <br />vV <br />— <br />S <br />,n t <br />a I <br />L, <br />q - A <br />utte' <br />c cti,tr✓Ias^ � - <br />J <br />bF <br />vi vt 441 wIL <br />►c <br />Gfmkl <br />3 <br />141vwaH!�et/l <br />&M40 <br />- <br />Name:NAaVlk, 6b)17A{ <br />Facility Hot Water Tempereture � <br />Hand Sink: 'F Chlorine: <br />Warewashing : <br />ppm 11 Heat: <br />'F <br />Exp. Date: + <br />C <br />arewashing Sink: 'F <br />Oust. Amm.: <br />ppm <br />that: <br />=F <br />/Title:7t: <br />Eecelved <br />Phone: <br />Time Out: <br />/1 t <br />Page�f q <br />EHD13-24 (2^ pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />