Laserfiche WebLink
Date: ./7,7d Name of Facility: A-7 <br />333.3 Program Element: <br />SB180 Posted <br />Inspection Type: <br />Re-Inspection on or After: No Permit Posted LW{ No <br />Program Record: <br />od Safety Certification Facility Hot Water .Temperature <br />Address: City: Zip Code: <br />Telephone: Owner/Operator: <br />Temperature <br />7 <br />Item/Location Temperature Item / Location <br />ewashing <br />OBSERVATIONSANDOO,FIREcTivgAcTjON <br />._2/;1a4cY) <br />22 3 7 r-oz- <br />/_-5LJG,Ye (50' /772// <br />z A-.7--/-- -e.,-../....,-/ * ).1_ (-7 /*X <br />X ,r_V-C:2fYi ./ <br />X ,z,--;?=, • 49,i--- cry/ <br />-Ae ,-.,:fp,,-7-,.,_c_c,/,-y-/h....,- — Gofe <br />.8/ A '5'- <br />Hand Sink: 493 OF Heat: Name: °F <br />Exp. Date: 7X.?09 Warewashing Sink: Z77c9 °F Quat. Amm.: PPm Other: °F <br />Received By / Title - <br />EH Specialis <br />Time in: <br />EHD 16-24 (2^d pg) 4/3/13 <br />PhV;702' <br />Tim Out: p5— Page of <br />FOOD PROGRAM OIR CONTINUATION <br />Chlorine: <br />SAN JOAQUIN COUN <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT