Laserfiche WebLink
,o?a boo SAN JOAQUIN COU. f <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.s'gov.org/ehd <br /> �{IFORiN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S ` Date: I 2 i 2 Z <br /> Address: G City: Zip Code: -z <br /> Owner/Operator: G Telephone: <br /> 4 <br /> Program Element. Program Record: s00 Inspection Type: , <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> — zs <br /> • <br /> Vf <br /> D p. <br /> Z' <br /> 1214 <br /> k <br /> 1 <br /> r <br /> r <br /> V -� <br /> Item cation Temperatu ; Item!Location Y Temperature <br /> - -- <br /> Food Saf C rt1#Ecaltior> Facilit)rfiat Water Temperature ;- Warewashi�g, <br /> Name: Hand Sink: F �Ch'o <br /> rine: PPm Heat: of <br /> Exp. Date: Warewashing Sink: of uat. Arn PPm Other: o f <br /> Received BylTitle: ` <br /> EH Specialist: Phone: <br /> Time in: r� Time Out: + D Page of <br /> EHG 1E-24 (2'"pg) 413113 1 FOOD PROGRAM OIR CONTINUATION <br />