Laserfiche WebLink
loD i <br />■o <br />c <br />/ g>Q —70^^7^4L Cqq <br />TemperatureItem / LocationTemperatureItem/Location <br />Food Safety Certification <br />hlorine:Name:°Fppm <br />Other:luat. Amm.:arewashing Sink:Exp. Date:Fppm <br />Phone: <br />EHD 16-24 (2™ pg) 4/3/13 <br />Facility Hot Water Temperature <br />Hand Sink: op <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 />Time Out: <br />Name of Facility: <br />Address: <br />Program Record: <br />Permit Posted <br />Warewashing <br />Heat: <br />°F <br />Pagy of <br />FOOD PROGRAM 0IR CONTINUATION <br />y 'T-. <br />Owner/Operator: <br />Program Element: / <br />SB180 Posted Yes No <br />Received By/Title: <br />EH Specialist:-/?- <br />Timeln: /? ^77 <br />Yes No <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />/•> /es F_______ <br />O~s^kyr^- g- /Oz/vtST <br />__________D7^\. <br />Qi-fi.t'J Ort— <br />h A Th l <br />______rt <br />• Tt ___ <br />CV> T'/Y/feyc? gpyz. <br />/•/ /cu <br />Food Program Official Inspection Report <br />^^-r/i'/hL- Date: <br />OOJD ! Zip code: /JTp//) <br />Telephone: <br />Inspection Type: <br />Re-inspection on or After: