Laserfiche WebLink
Food Program Official Inspection Report <br />Date: <br />Zip Code: <br />Telephone: <br />Program Record: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />E <br />V.c\ <br />( <br />) J <br />Item / Location TemperatureTemperatureItem/Location <br />Food Safety Certification <br />hlorine:Name:°Fppm <br />2uat. Amm.:ither:Warewashing Sink:Exp. Date:°F°F PPm <br />Received By I Title: <br />Phone:EH Specialist: <br />Time in: <br />EHD 16-24 (2nOpg) 4/3/13 <br />\Q-P/X_z*s^yk-— <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 />Warewashing <br />(Heat: <br />jl O-, <br />t O' <br />Facility Hot Water Temperature <br />Hand Sink: op <br />OS <br />o S — (o l ______ <br />Time Out: Page^of <br />FOOD PROGRAM OIR CONTINUATION <br />Sos / SSOMC <br />Permit Posted Yes No <br />Program Element <br />SB180 Posted Yes U'No <br />Name of Facility^ « C <br />Address: <br />Owner/Operator: <br />Inspection Type:s i~rr- ______________/ I <br />Re-Inspection on or After: <br />City:------- , <br />__ \ f