Laserfiche WebLink
,oP •�aG SAN JOAQUIN COUNTY <br /> a .yx ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . .. P Telephone: (209)468-3420 Fax: (209)464-0138 Web:w_w_w.sigov.orglehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 1 ` Date: <br /> ddress: City: Zip Code:1 <br /> OwnerlOperator: v � Telephone: <br /> i-di�t2 <br /> Program Element: Program Record: Inspection Type: <br /> a S s <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 'k <br /> 1 <br /> - - <br /> v► <br /> Mot u <br /> ,dames <br /> �. u� So <br /> D <br /> (Location._ Location'ure e Tem rat I Item 1- p- �--- � Temperatures, <br /> Food Safety Certification Facility.Hgt,WaterTemperature Warewrashing <br /> Name: Hand Sink: eFChlorine: PPm Heat: 'F <br /> Exp.Date: Warewashing Sink: of Quat Amm.: PPm 110 <br /> ther: of <br /> Received By!Title: _ <br /> C C: <br /> EH Specialist: Phone: <br /> Time in: Time Out: / Page of . <br /> EHD16-24 (2^ pg) 413113 FOOD PROGRAM OIRCONTIN[IATION <br />