Laserfiche WebLink
City: v <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />V <br />- S£8-I2ci2 <br />'\y fo <br />2A <br />Item / LocationTemperaturettem/Location <br />AC <br />•z <br />Chlorine:°FName: <br />Warewashing Sink:°FExp. Date:PPm <br />Received By / Title: <br />Phone: <br />Time Out:Time in: <br />Warewashing <br />IHeat: <br />San Joaquin Cou. <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 />Temperature <br />1^8 E_ <br />Yes No <br />V) -2-AS <br />EH Specialist: <br />EHD 16-24 (2nd pg) 4/3/13 <br />_ __ --^7 -V <br />-■ .- ^ 'v- . v \ <br />Program Record: <br />Permit Posted <br />— V^S>Osr% <br />' Vf <br />Food Safety Certification <br />\ \ ^> R <br />O7Q <br />> rz-GF <br />EIlaSav._____ <br />Food Program Official Inspection Report______ <br />Date: \2-|^5-)<A. <br />Zip Code: <br />Telephone: <br />Inspection Type: Z- <br />Re-lnspection on or After: <br />p <2 J _________________ <br />L HOP MQ _____________ <br />I m S' r <br />Facility Hot Water Temperature <br />Hand Sink: op <br />op llQuat. Amm.: <br />—<S~? <br />cT~=k A - <br />Name of Facility: y <br />Address: v <br />Owner/Operator: ',.3> <br />Program Element: \qC| <br />SB180 Posted Yes No <br />iissq™ p,9ei,'i <br />FOOD PROGRAM 0IR CONTINUATION <br />e z p <br />yv—x -Aq <br />- HIE <br />PPm <br />Other: