Laserfiche WebLink
Program Record:Inspection Type: <br />SB180 Posted Permit Posted Re-Inspection on or After: <br />/ <br /> UUJ toto <br />to <br /> <br />3*. G <br />Item/Location <br /> <br /> <br />Temperature Item / Location Temperature <br />Food Safety Certification <br />Name: <br /> <br />Chlorine:Fppm <br />Exp. Date:Warewashing Sink:Quat. Amm.:Other:F °Fppm <br />Received By / Title: <br /> <br />EH Specialist: <br />Time in: <br />10'" <c <br />San Joaquin Coun i <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 of Facility: <br />Address: <br />__ <br />f' , <br />Warewashing <br />Heat: <br /> <br /> <br /> rfir <br />rZOffa-x <br />EHD 16-24 (Z'^pg) 4/3/13 <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />A - JAU_______ <br /> ___________________ <br />Page^ of <br />FOOD PROGRAM 0IR CONTINUATION <br />Facility Hot Water Temperature <br />Hand Sink: Op <br />Yes No <br />Owner/Operator: <br /> <br />Time Out: <br />Program Element: > <br />Yes No <br />_____Food Program Official Inspection Report <br />S’Piree. +- l^y Dale: /oA q// y <br />f&Qwaclty' ZlpCode' <br />Telephone: <br /> .——ito <br />^9 ^3 <br /> <br />.__ _______ _______ __ <br />/,'G h't) ■/—