Laserfiche WebLink
Zip Code:City: <br />Telephone:Owner/Operator: <br />Inspection Type:Program Record:Program Element: <br />Re-Inspection on or After:Permit PostedSB180 Posted Yes No <br />/ <br />( <br />TemperatureItem /TemperatureItem/Location <br />Food Safety Certification <br />Name:FPPm <br />Other:Warewashing Sink:°FExp. Date:°F PPm <br />Phone: <br />Time Out:JTime in: <br />EHD 16-24 (2™>pg) 4/3/13 <br />II <br />Chlorine: <br />Quat. Amm.: <br />V/ Y 5 ! <br />Warewashing <br />Heat: <br />\j <br />6 / £> <br />__u_a±L <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/ehci <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />o (Add, <br />10-/3 - 2< <br />^6 3^4 <br />I <br />Facility Hot Water Temperature <br />Hand Sink: <br />Yes No <br />Received By/Title: <br />EH Specialist: ' ---- 7 ~ <br />Name of Facility: <br />Address: <br />Food Program Official Inspection Report <br />P-i 'p’dYi '' Dale' <br />.if- STytuxJ'n To oc?v\ ~~ <br />2______ <br />Page _of . - <br />FOOD PROGRAM 0IR CONTINUATION