Laserfiche WebLink
:== <br />^■P^oV^c/ <br />H <br />(gp ff^d^C <br />(3B -S*^^Vite <br />Item / Location Temperature <br />Heat: <br />Other: <br />°F <br />°F <br />0. <br />■■ <br />San Joaquin Coun\ <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/ehcl <br />IE ACTIONS <br />V3<F <br />Chlorine: <br />Quat. Amm.: <br />OBSERVATIONS AND CORRE1 <br />Tor? r~___________C t <br />Page| of^ <br />FOOD PROGRAM 0IR CONTINUATION <br />S A-S <br />No <br />Warewashing <br />ppm <br />PPm <br />Phone: <br />Time Out: £~ C~ 7 > <br />Temperatureirr <br />iQ e> f= <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Warewashing Sink: op <br />Name of Facility: <br />Address: <br />Owner/Operafbr: <br />Program Element: <br />SB180 Posted Yes <br />Name: <br />Exp. Date: <br />Received By /jfTitli <br />EH Specialist: <br />Time in: <br />Food Program Official Inspection Report <br />~Z7~ . Date: ^/so/^ <br />PPe /Master- ZipCode: ^^36 <br />Telephone: <br />Program Record: y y ___________________Inspection Type: <br />Permit Posted Yes No Re-Inspection on or After: z <br />- -n> <br />.______ _____________ <br />Item/Location <br />Food Safety Certification <br />u <br />~4t) I CoC=> <br />^zr-^A <br />pMrh^ly <br />4 0 U <br />EHD 16-24 (2"= pg) 4/3/13 <br />C^rVX cl&iC G-r^- { <br />ctcAriA (•P1D <br />leag^-orQ-