Laserfiche WebLink
S'AN 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.s9gov.org/ehd <br /> ��FdAr" <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility:�A C �- 1 �, k� Date: _ _L 7- Z <br /> Address:q 0 Q C e—n—V r �� city: \ {� Zip Cade: _ 3 <br /> Owner/Operator: Telephone: <br /> Program Element:`bg z t ,,,,Program Record: 505 Z � t51t tJ Inspection Type: <br /> 81110 Posted Yes No Permit Posted Yes No Re-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> �c \cyA F _ <br /> I6 r- war l 00 —IR�:Isl�C-" - I _.�' �-_' . Jar., 71 cc)�, <br /> rnf r� <br /> 1 S " <br /> �1iF - � 1 r <br /> �_A 7S ` ON- <br /> Temperature Item I L tlo .Temperature: <br /> � <br /> adlity Hot Water Temperature Warewashing' <br /> Name: and Sink: `F hlorine: PPm Heat. `F <br /> Exp.Date: arewashing Sink: F uat.Amm.: ppm the — F <br /> Received By Title: <br /> C✓ :13 <br /> EH Specialist: Phone: 20�1_ t_G]00ime in: Time Out: + Paf <br /> EHD 16.24 (2ro pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />