Laserfiche WebLink
SB180 Posted Permit Posted <br />T <br />CFAA <br />~TS <br />gp r <br />Food Safety Certification <br />Chlorine:Name:°FPPm <br />Quat. Amm.:Other:Exp. Date:Warewashing-Sink:°F °FPPm <br />Received By / Title: <br />Phone: <br />Time Out: <br />EH Specialist: ^ <br />Time in: <br />____ <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 />Warewashing <br />Heat: <br />uJ <br />S'GO <br />EHD 16-24 (2™'pg) 4/3/13 <br />Item'/Locatiofi <br />Page, of <2 <br />FOOD PROGRAM OIR CONTINUATION <br />^-r <br />SM^Io <br />Re-Inspection on or After: <br />Facility Hot Water Temperature <br />Hand Sink: op <br />\ ~ Q zx, <br />- - <br />X ______ <br />- aom f <br />>CZxry <br />-Vo <br />Temperature | <br />' > I C <br />__________________________OBSERVATIONS AND CORRECTIVE ACTIONS <br />V ) \o(<.(Wxx/Z \-\ocKx^A . <br />5x^>rv-<l£~ss~ -Vo 3^-- <yV- <br />Food Program Official Inspection Report ~i- M-1 °) <br />/T^_, <br />City:t Zip Code: <br />T Telephone: ~f~ <br />‘nsPection Type: AyM? / <br />y: x KrC'X -A- S \c-N~^2V<- yj <br />QcyjiO-c \ c\ <a5s <br />Program Element: .. . A- Program Recora: y <- ^x-<^ / <br />Yes ~ No IPermit Posted Yes No f <br />Name of Facility: C? <br />Address: \ <br />Owner/Operator: <br /><3) VcZZ <br />Item/Location