Laserfiche WebLink
Zip Code:City: <br />Telephone:Owner/Operator: <br />Inspection Type: <br />SB180 Posted 'Yes INo Permit Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />( <br />Clos'di\ <br />C^—A-O-g <br />O\x o <br />S3 1 <br />i— <br />hlorine:Name:°Fppm <br />tther:mat. Amm.:Warewashing Sink:°FExp. Date:PPm <br />Received By/Title: <br />Phone: <br />Time in: <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 />Warewashing <br />leat: <br />Item/Location <br />Gd _______ <br />lol <br />TimeOut: Page^f. <br />FOOD PROGRAM 0IR CONTINUATION <br />Temperature <br />M TF F <br />Temperature <br />kloZy- i W <br />r <br />> WxrrJ_____ <br />v /<r <br />,\d xkj Vex ~ \ VoCV 1 Cfi <br />coa/x d-g " M \ |~_______ <br />_____________Food Program Official Inspection Report <br />Name of Facility: \ \ ~~~ I—."T Pate: lO”~ l~? '"^2- G, <br />Address: \ \ '—i A A ’■ <br />Soor <br />(Ye?) <br />Program Record: SM ko 7 S / S H <br />Yes No ' Re-Inspection on or After: <br />■ 1 <br />e1 <br />EH Specialist <br />EHD 16-24 (2nd pg) 4/3/13 <br />Item / Location <br />-Gy <br />c-<j r Ka <br />Facility Hot Water Temperature [I <br />Han^Sink^^^^^^^^^^^^^o^lChlorine: <br />«F Quat. Amm.: <br />(aTYSoC vCV-- <br />Food Safety Certification