Laserfiche WebLink
City: <br />Telephone:Owner/Operator: <br />Inspection Type:Program Element: <br />Permit PostedSB180 Posted Yes No <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />15X <br />C <br />4^ <br />v s <br />■ <br />k A <br />A <br />Item / LocationItem/Location <br />73^ <br />A <br />Food Safety Certification <br />hlorine:Name:PPm <br />Other:luat. Amm.:Warewashing Sink:°FExp. Date:F PPm <br />Phone:EH Specialist: <br />Time Out:Time in: <br />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.org/ehd <br />If <br />Name of Facility: <br />Address: <br />Warewashing <br />Heat: <br />Temperature <br />i e <br />\ c <br />Pagq^f <br />FOOD PROGRAM 0IR CONTINUATION <br />ex r<\ <br />EHD 16-24 (2'»pg) 4/3/13 <br />(o " V'S ~ _________ <br />Received By/Title: <br />°F <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Vl Aj <br />(Xs \ <A\\ \’. <br />kKbCx \ A____________ <br />_p\ 0 P ' <br />C2S <br />(VaX______ <br />A L\Vr\<? \ cr~^ <br />y^\r\c\ <br />Program Record: 2. O '~l 2. / "S 4 <br />Yes No ' Re-Inspection on or After: <br />MSP <br />^7 <br />Food Program Official Inspection Report <br />io- IS-2-S <br />Zip Code: