Laserfiche WebLink
£ <br />NoNo <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />£ <br />r&filA. <br />A of-'" <br />/oc|tr6< k <br />5^^/.hlA-* <br />Temperature Item / Location TemperatureItem/Location <br />Food Safety Certification <br />Chlorine:Name:ppm <br />Quat. Amm.:Warewashing Sink:Exp. Date:ppm <br />Phone: <br />Page ofTime Out: <br />FOOD PROGRAM OIR CONTINUATIONEHD 16-24 (2nd pg) 4/3/13 <br />Facility Hot Water Temperature <br />Hand Sink: °F ( <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 />c'i <br />Warewashing <br />Heat: <br />Other:°F°F <br />°F <br />Program Record: <br />Permit Posted Yes <br />'$ ^cuee^S __________ ______________________________________________ <br />ij g1 6 I? C-£_ ~ Ci c; / o 5 -A3 pct.^ $ <br />Received By / Title: <br />EH Specialist: U) , g -------- <br />Time in: <br />_____________Food Program Official Inspection Report <br />Name of Facility: H p/1 Da,e: -2L~ <br />address: I I ? ? C 5o^ |g A - ' Zip Cede: <br />Owner/Operator: Telephone: <br />Program Element: Program Record: Inspection Type: <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />y/t- £4 r C q ' f r-tf') <1 r 7 r3z>-x 5 q /7 a . <br />rl / T-g/v, y f /'\<TAir' 1 n ~ r~^ <br />Or> gue^-</ f O (ocSf^ . <br />)-£> zy C Ia. A S •7' 6CK)Q ( | 5 <br />-4Z ^-«g>vJrc( <A <br />i-M$A Lp <br />______/5 <br />__________>g»v, | ■ 5 V-e*"1^