Laserfiche WebLink
Zip Code: <br />Telephone: <br />SB180 Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />» Cn<; <br />o <y o r M2 <br />c 5 " <br />(2^ <br />(^rpT)7 <br />/CJAA <br />Item / Location TemperatureItem/Location Temperature <br />Food Safety Certification <br />Name:Chlorine:ppm <br />Quat. Amm.:Exp. Date:Other:Warewashing Sink:°F °FPPm <br />EH Specialist:Phone: <br />Time in:Time Out:<7: h <br />EHD 16-24 (Z'-’pg) 4/3/13 <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 />°F <br />Warewashing <br />Heat: <br />_________________ <br />—-------Sr^i>4s>MYiA <br />n i Pag°ot <br />FOOD PROGRAM OIR CONTINUATION <br />Facility Hot Water Temperature <br />Hand Sink: oF <br />^2^ <br />Dtfi/m --- . —- --- <br />"7^// m fadj'nt. ■ <br />-----^-yv^ ipY'Y c^L4 C (2. <br />/jO4^4.----^€2 5- - <br />Y.'ri O' rt- <br />[Received By/Tife: <br />toe . <br />,----------- <br />_______ Food Program Official Inspection Report______ <br />Name of Facility: ,A A „ Dale: -/A ~2 2 <br />ftddress: A/ F/^4 .4,^ Z ,■ Cl,y: z-4z ■ y'c-zlpCode: ^5-93 4 <br />OwnerlOperaton /> <br />|Program Element:^ 1 Record:l™P°*l°" T^°: <br />Yes Nd Permit Posted Yes No' y f Re-Inspection on or After: