Laserfiche WebLink
City: <br />Telephone: <br />Inspection Type:Program Element: <br />Re-Inspection on or After:NoSB180 Posted Yes <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />5^- <br />*» <br />Temperature TemperatureItem / LocationItem/Location <br />Food Safety Certification <br />hlorine:Name: <br />uat. Amm.:arewashing Sink:Exp. Date:°F <br />Phone:EH Specialist:mi <br />Time in: <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 />HS\: <br />A, I frO <br />Name of Facility: <br />Address:Zip Code: <br />°F <br />°F <br />Facility Hot Water Temperature <br />land Sink: <br />Program Record: SC 5 2, T S <br />Permit Posted Yes No <br />lpc> t Sl-______L/j g Iff) f <br />jK/fy A/14 t'l'l I't'C'L'f _____ <br />Sti/a. <br />____------------------------------------------------------------------------------------------------- <br />^4 IW <br />) S C^F7^. <br />JLctcj _______________n <br />1 <br />/p/ kadPLU------ <br />5 d-( <br />fe? //? & <br />ffS '(O % F <br />Received By / Title: <br />EHD 16-24 (2^ pg) 4/3/13 <br />Warewashing <br />ppm |Hea~ <br />ppm ||Other: <br />-p~> <br />6 <br />TimeOut: /7 />// Page^f <br />FOOD PROGRAM 0IR CONTINUATION <br />Food Program Official Inspection Report_______ <br /><9t'ViPate‘ /g2 “-2$" <br />_________w 7?>7.<r>7 C|ty / <br />Owner/Operatdr^ <br />A/(2 (pbx 4?vx Ux