Laserfiche WebLink
Zip Code:City:Ltdl'V <br />Telephone: <br />Inspection Type:Program Record:Program Element: <br />Re-Inspection on or After:Permit PostedSB180 Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />'l' '■ l- !HU <br />!■/ <br />V <br />7 <br />Ju <br />L_ <br />■- <br />- Pc ' <br />'A’20 1-4 i <br />2 4-^ <br />a.^4'' <br />TemperatureItem / LocationItem/Location <br />Food Safety Certification <br />Name:PPm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:°F PPm <br />Received By/Title: <br />Phone:EH Specialist:^32_ <br />Time Out:Time in: <br />FOOD PROGRAM OIR CONTINUATION <br />______ <br />Chlorine: <br />1 <br />■ <br />1 <br />Warewashing <br />Heat: <br />,r- <br />I- . t <br />L-LL- <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 />S r ~ -f . <br />h jg. <br />y I <br />Name of Facility: <br />Address: <br />L>l <br />11 <br />EHD 16-24 (2«pg) 4/3/13 <br />Food Program Official Inspection Report <br />Date: ip <br />°F <br />4^- <br />__________r l/r- <br />Temperature <br />°F <br />-______________ <br />c" I. !/-i_ <br />p 6-' <br />■ . I I ______1 <br />lew A./k- <br />Facility Hot Water Temperature <br />Hand Sink: op <br />— <br />Yes <br />Page of <br />No <br />___________1 <br />Yes No <br />Lr,^ \^C, <br />913 £ Lcck( <br />Owner/Operator: <br />/ - <br />4. <br />I t 'i i'A k <br />i,. I u! kJ'