Laserfiche WebLink
Zip Code:City: <br />Telephone: <br />Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />I ; N\ <br />SI TI <br />I co- I FLE <br />& <br />Ku <br />TemperatureItem / LocationItem/Location <br />Food Safety Certification <br />hlorine:Name:°Fppm <br />•thenmat. Amm.:Warewashing Sink:Exp. Date:°F°F ppm <br />Received By / Title: <br />Phone: <br />Time in: <br />EHD 16-24 (2nd pg) 4/3/13 <br />EH Specialist: <br />_____£ <br />Warewashing <br />iHeat: <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.org/ehd <br />Q- <br />J <br />Food Program Official Inspection Report <br />CrM Da’": ~ <br />Temperature <br />I— <br />Facility Hot Water Temperature <br />Hand Sink: op <br />yr qogKvj <br />Program Element: <br />SB180 Posted Yes No <br />^cy) y \ r\ <br />Yes No ' <br />Program Record: <br />Permit Posted <br />Time Out: ' \J ‘-x Pa| <br />Inspection Type: -pc <br />,f S <br />FOOD PROGRAM 0IR CONTINUATION <br />Name of Facility: <br />Address: kAcj <br />Owner/Operator: