Laserfiche WebLink
pP4u1" F SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.siclov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: E,L Date: <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: 113 c-, Program Record: � ' Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> M2BSERVAAbNS AND CORRECTIVE ACTIONS <br /> IS t -10L,.cl.' <br /> v�r <br /> , QS) F <br /> �E <br /> v� C <br /> k Q�4 Tj <br /> ItemlLocation Tem to. item 1 Location Temperature <br /> F. Facility Hot Water Temperature Warewashing <br /> Name: Hand 51nk: :F Chlorine: ppm Heat: J F <br /> Exp.Date: Warewashing Sink: "F Quat.Amm.: ppm Other: 'F <br /> Received By 1 Title: <br /> EH Specials ` Phone: <br /> Time In: - 7 1 S� Time Out: 1 , 2— V �J Page f <br /> 1 <br /> EHO 15-24 (2"d pg) C403 FOOD PROGRAM OIR CONTINUATION <br />