Laserfiche WebLink
7^-2 2/ /- <br />Zip Code:___ <br />Telephone:Owner/Operator: <br />/ 'T'Program Element:1 _____ <br />NoNoSB180 Posted Yes <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />__ <br />Item/Location TemperatureTemperature <br />Heat:°F°F <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:°F°F ppm <br />Received By / Title:/ i <br />Phone:EH Specialist: <br />Time Out:Time in: <br />FOOD PROGRAM OIR CONTINUATIONEHD 16-24 (2"dpg) 4/3/13 <br />San Joaquin CounW <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 />City: <br />Name of Facility: <br />Address: <br />Facility Hot Water Temperature ____ <br />Chlorine: <br />Food Safety Certification <br />Hand Sink: <br />________ <br />Page of <br />Food Program Official Inspection Report <br />Date: <br />Warewashing <br />ppm <br />Program Record: <br />Permit Posted Yes <br />Item / Location <br />Inspection Type: <br />J \ ! /'K ‘ JS 1+ X ()LA L_____________ <br />Re-Inspection on or After: