Laserfiche WebLink
City: <br />Permit Posted <br />& <br /> <br />TemperatureTemperatureItem / LocationItem/Location <br />Food Safety Certification <br />Name: <br />ither:iQuat. Amm.:Exp. Date:ppm <br />Phone:EH Specialist: <br />Time Out:Time in: <br />EHD 16-24 (2nOpg) 4/3/13 <br />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.siqov.org/ehd <br />No <br />MT <br />No <br />Name of Facility: <br />Address: <br />Page^of <br />FOOD PROGRAM 0IR CONTINUATION <br />Program Record: <br />Yes <br />°F°F <br />°F <br />Warewashing <br />ppm ||Heat= <br />facility Hot Water Temperature |_ <br />Hand Sink: op Chlorine: <br />Warewashing Sink: <br />Received By / Title: Cl <br />________c~~ o c9 <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />i x o fi /y <br />hs1 <br />------7^ -7------------- <br />|Sn <br />Food Program Official Inspection Report <br />Mr Dall!: 57?7/~ <br />3<r O/.^/ CA___________Clty: apCode: <br />Owner/Operator: Telephone: <br />Program Element: y Program Record: ^7^ (y Inspection Type: <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />clcW' <br />---------------- <br />cA7 J___ <br />_______ ---------------------------- <br />^ll. a* OypA/r <br />I <br />______^je -------------fidi/----------- <br />ifi) <br />^=)-------------O - <br />_______yvM