Laserfiche WebLink
Address: <br />Name of Facility: <br />11 1t <br />FoArmAs (e <br />SAN JOAQUIN COUP <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siqov.orq/ehd <br /> <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Owner/Operator: <br />Date: <br />Zip Code: Ci5.26 <br />Rites 0 Permit Posted E Yes 0 Re-Inspection on or After: <br />C \7F-Q U Vsi a+CX-ril S <br />City: ov".tun , c.tunislauS st_ <br />Program Element: Program Record: FIC2.0 <br />n Ct n(12_e. <br />Inspection Type: 1;4,1,4111e_ <br />Telephone: c4614r0 ,02:75,/ <br />SB180 Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />uu4sC11 1-006136 I <br />JAV-feAlt - r)01- cyp Sof <br />C f‘l al 0\\ tiThe D <br />1-kcA tai n CA <br />Ot- k- tor 2bRP <br />Temperature Item /Location <br />Food Safety Certification Warewashing <br />Heat: <br />_ <br />Name: °F <br />Facility Hot Water Temperature <br />Hand Sink: °F Chlorine: <br />PPm <br />Exp. Date: Warewashing Sink: Quat. Amm.: PPm Other: °F <br />r ftrO <br />Ctily‘ok Phone: 4(0 <br />Time Out: t) Page (of( <br />FOOD PROGRAM OIR CONTINUATION <br />Received By / Title: <br />EH Specialist: <br />Time in: <br />END 16-24 (2^, pg) 4/3/13