Laserfiche WebLink
LfitdiCity: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />ICfyprnEL <br />TemperatureTemperature <br />Food Safety Certification <br />hlorine: <br />arewashing Sink: <br />Phone: <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 />Name: <br />Exp. Date: <br />Name of Facility: <br />Address: *—4-1 <br />Pagej of <br />FOOD PROGRAM 0IR CONTINUATION <br />°F <br />°F <br />Time Out: <br />SEE <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes <br />4(XiY <br />CP i 00 ppnn_________________ <br />ICQ o.oAm |W - ARV (yRCD <br />____4c(y npao dVffiM-' ! <br />iP, - yys E J <br />I Koop- Pmi dfcplagp <br />__MiCV- Vv’\A< - Hl (■"' <br />rE-jpg onpgtivYdax-4^&Q <br /> ^ c\rnx c1 TMTn^—~ <br />Item/Location ’ <br />WEEWaJjE wEcje <br />EHD 16-24 (2nopg) 4/3/13 <br />i ' Item / Location <br />Facility Hot Water Temperature <br />(Hand Sink: °p <br />p Quat. Amm.: <br />Warewashing <br />ppm IHea^ <br />ppm 0,her: <br />_____Food Program Official Inspection Report <br />UYM CP7U9CZ , Dale:E ru rc nErC City: u.rb apc°de:‘rnViO <br />Telephone:^^^ ^'7^/ <br />I Program Record: Q Inspection Type: p fyjQfrl- <br />No Permit Posted Yes No Re-Inspection on or After: <br />Received By / Title: V <br />EH Specialist: <br />Time in: <br />(1 riiOic Hid <br />___\ rkCKZ HlAQ