Laserfiche WebLink
ot'41 c SAN JOAQUIN COUN•I Y <br /> a .z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.s6gov.oM ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S r bate: 0— - 2 <br /> Address: City: Zip Code: <br /> OwnerlOperator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> S13180 Posted ❑Yes Q No Permit Posted G Yes r No Re-Inspection on or After: <br /> •, �DBSERVATIONS AND CORRECTIVE ACTIONS <br /> s Ian <br /> 1`-t L}•Q.r <br /> r <br /> 01 ,rj - O-M 0 12) r-� <br /> lb ' n <br /> w 1Li F <br /> �g <br /> 2 <br /> ItemlLocatiori emperaI ure Item I Location Tempera te Item!Location Temperature <br /> Sa C rt`f catiOrt, �: Facility Hat Water Temperature _ Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: "F <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm Cher: oF. <br /> Received By 1 Title: �r <br /> 10-11.1 Ad <br /> EH Specialist: 1 Phone: <br /> lme in: Time Out: Page�91 <br /> EHD 1 Fr24 (2.°pg) 4W 2 FOOD PROGRAM OR CONTINUATION <br />