Laserfiche WebLink
:< <br /><.TiTj <br />4 <br />TemperatureItem / Location <br />Food Safety Certification <br />Name:°Fppm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:°F°F ppm <br />Phone: <br />Time Out: <br />r <br />I 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 /><» <br />Name of Facility: <br />Address: <br />Received By / Title: <br />EH Specialist: | <br />Time in: <br />Warewashing <br />Heat: <br />No <br />Page | of <br />FOOD PROGRAM 0IR CONTINUATION <br />Chlorine: <br />Facility Hot Water Temperature <br />Hand Sink: op <br />MOll <br />4-7. PWOfe.- PTi\U <br />3 Cntobrzi (■ot-kx' <br />NtnMWMo 47 ICtMDfek <br />' -/ P'zqxr TfWK <br />g) W, fATTj <br />_______fl \V\_________________ <br />EHD 16-24 (2"dpg) 4/3/13 <br />OBSERVATIONS A|ND CORRECTIVE ACTIONS <br />cpunv i |b> i4)IT~ <br />E® <br />tfb -Ilk? P CA-W fY ._____ <br />n/wWish -'Id tnkifcp <br />Item/Location Temperature <br />70^ <br />________Food Program Official Inspection Report _____ <br />JO^imn /Vi'hflFZf I7UWIT> I47t- DM"/?I71Z9 <br />P/ia/rpAvk c"* SduTK-tflfx) apco^ <br />Owner/Operator: Vi 7~> D tV "VTU Telephone: <br />Program Element: * Program Record: lnspection Type:jY^p; " <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: