Laserfiche WebLink
Zip Code:City: <br />Telephone:Owner/Operator: <br />Inspection Type:Program Element:Program Record: <br />Re-Inspection on or After:Permit Posted Yes NoSB180 Posted Yes No <br />✓ <br />/ <br />- <br />___ <br />6- <br />— <br />- <br />I <3.! <br />Hi TemperatureTemperatureItem / LocationItem/Location <br />Food Safety Certification W; <br />Chlorine:Name:°Fppm <br />Other:Warewashing Sink:Quat. Amm.:Exp. Date:°FFPPm <br />Page of <br />FOOD PROGRAM OIR CONTINUATIONEHD 16-24 (2"dpg) 4/3/13 <br />Received By / Title: <br />EH Specialist: <br />Time in: <br />shing <br />Heat: <br />Facility Hot Water e <br />Hand Sink: <br />'d / <br />1 - \ <br />ir.e <br />°F <br />> <br />San Joaquin CounW <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, GA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siqov.orq/ehd <br />Name of Facility: <br />Address: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Food Program Official Inspection Report <br />Date: <br />*1 <br />______ <br />Phone: <br />Time Out: <br />/ \ <br />/i 4