Laserfiche WebLink
SAN JOAQUIN COUN', <br /> 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 /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: l v- -t <br /> Address; City. Zip Code: 5 33 <br /> Owner/Operator: �.a tC^ Telephone: <br /> Program Element: l lrr� S Program Record: 5 2 Inspection Type: <br /> 110 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> y _ <br /> C 1 <br /> C-1 <br /> 2SO C � <br /> c.�t� Q <br /> ll <br /> Food Safety Ce tificatio <br /> Name: Hand Sink: °F hlorine: ppm Heat: 'F <br /> Exp. Date: arewashing Sink: of uat.Amm.: ppm r <br /> then: "F <br /> [EH <br /> eceived By/Title: <br /> Specialist: Phone: 'A b <br /> ime in: c\ Time Out: l 20 Page f <br /> EHD 16-24 {2nd pg) 4013 7`J FOOD PROGRAM OIR COLNTINUATION <br />