Laserfiche WebLink
SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siqov.orgiehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: 5",4 c-1-t 4 u-t-- Date: 1 V 16 <br />Address: 3 550 1,1 v4 i csot-i ' . • City: ...... --i Zip Code: 9 4- ..... "XV <br />i <br />Owner/Operator: ,..A. NI ea c A L.. V A NJ 0 Telephone: <br />Program Element: 1 6 3.4 Program Record: err 0 <br />53 <br /> si ei Inspection Type: ercp Lvi_i N.) e...... <br />SB180 Postedio0V, No Permit Posted Yes No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />0 ?s/t1 -\ta_sor vi 4,1....,,e., -riot-J.5 4P-et...I.-A )1 ej <br />a1/44 koo 9- 4' 7> e-A Ns u 1--- 5,0A r_ 1 Ls ,....ft) -r g- 1 r 4 t- '- oi'srlii- afto w4D. <br />pito v/.1;.- PA L L,..---1--- 'c.,12- (°..el N 01-- 5.,ek c-- fc s- -1-c›..C) <br />Item/Location Temperature Item / Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: .F Chlorine: ppm Heat: . <br />Exp. Date: Warewashing Sink: °F Quat. Amm.: PPm Other: . <br />Received By / Title: Ar,,tr_i7-6 <br />EH Specialist: Phone: <br />Z..7 5—‹ / 2 -7 .r"-- 3 <br />Time in: Time Out: Page/of i <br />EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINL