Laserfiche WebLink
—iPlQV- <br />6MCPJI <br />TemperatureItem / LocationTemperature <br />Food Safety Certification . i <br />Chlorine:Name:°Fppm <br />Other:Quat. Amm.:'arewashing Sink:Exp. Date:°F°F ppm <br />Phone: <br />Time in: <br />FOOD PROGRAM OIR CONTINUATION <br />Warewashing <br />Heat: <br />Item/Location <br />^02- V <br />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.orq/ehd <br />Date: <br />as 7/tL <br />Name of Facility: <br />Address: | <br />Facility Hot Water Temperature <br />Hand Sink: <br />1 <br />n s <br />Yes No <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />g) A W.-,: nW z <br />_________Food Program Official Inspection Report <br />V II 111 (' u t-n f 'MUjTUlS fi-tyr <br />Pdia fi (y Ai.i/. c"»;( <br />^/OperMe,: Q ' _ <br />Program Element: Program Record: y) V R.0 ' 0^1 <)_(^P?Pection TyPe: <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />Received By / Titl^ <br />I^H Specialist LWUCt <br />Wl an> ______ <br />EHD 16-24 (2~)pg) 4/3/13 <br />r Mi <br />Time Out: Page^ of C , <br />satnpllrg <br />in? ppm : <br />ondoced totn-wie VfiU9, yYiis^m- <br />(jp(M<k <br />@ vpiL (Wipuizira lb.£-inc- <br />(15> UflbK-iO ptAttcg <br />Zip Code: <br />Telephone: <br />feu term/1