Laserfiche WebLink
w: p <br />Clty: SVv Ic-Wa <br />tfc <br />~PKT\>?,I <br />~s I <br />TemperatureTemperature <br />Name:°Fppm <br />Other:Warewashing Sink:Quat. Amm.:Exp. Date:°Fppm <br />I <br />]__ <br />Chlorine: <br />San Joaquin Count <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 />Received By / Title: <br />EH Specialists—^. <br />Time in: <br />Warewashing <br />Heat: <br />Item/Location <br />C|j C-Cc-Q- ______ <br />°F <br />EHD 16-24 (2Mpg) 4/3/13 <br />L^- - - Phongi/ M IqQ,- o?^ <br />TimeOut: -t_a Pagejof u <br />FOOD PROGRAM 0IR CONTINUATION <br />^3^3 <br />A^TcT'kn cA <br />V\ c<v> <br />---------—1 <br />_________ _ <br />Ay fVAC^ . <br />VA CO________ <br />C\ CZ? A <br />c\ ■ <br />Item / Location <br />3^) C V-^A-Qp, - <br />Food Safety Certification <br />IMT1 F <br />\SQF <br />Facility Hot Water Temperature <br />Hand Sink: °F <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />~ Ckx4c JA<»V\ > <br />~f\SVc (V^K1 <br />~~V ?, M Vyd <br />SV.-kA. (A <br />•'2<yo\ - - Vq \ V2_ <br />pfy~w—k -________ <br />OV^r-*> Fcv-^_z>^\ C-e^yx <br />_ r I ) \ lOF <br />_____________Food Program Official Inspection Report_______ <br />Nam, of Facility: /Q-^ -Vn AZA C T^AA "T^ Date: *4 ~2, | - I A ~ <br />Address: yco A O Sf ' ZiP ‘T S ? GZ_____ <br />Owner/Operator: Ap^iy-X CFM__________________________________________Teleph°ne:______________________ <br />Program Element: ^0,2 / I \o'=1^r°8ram ReCord:\V.O^-T.S / SQIoHT.?, 'nsPection TyPe: A> / <br />SB180 Posted Yes No Permit Posted Yes No / IRe-Inspection on or After: ' ’*