Laserfiche WebLink
Zip Code: <br />Telephone: <br />Inspection Type:Program Record:Program Element: <br />Re-Inspection on or After:Permit PostedSB180 Posted <br />=4 <br />Temperature Item / LocationItem/Location Temperature <br />Food Safety Certification <br />Name:Chlorine:°FPPm <br />Exp. Date:Quat. Amm.:°F °F <br />Received By/Title:u. <br />EH Specialist:Phone: <br />Time in:Time Out:m <br />EHD 16-24 (2nd pg) 4/3/13 <br />San Joaquin CoO’y <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjqov.orq/ehd <br />Warewashing <br />Heat: <br />Name of Facility: <br />Address: <br />Owner/Operator: <br />" / k- r-i 2 y <br />Yes No <br />2^. 3 /W5? <br />_______Z/ / //: /a,, p,ge /o' * <br />' FOOD PROGRAM 0IR CONTINUATION <br />ppm other: <br />_____Food Program Official Inspection Report_____ <br />-ScM ______________ Date: h 2 / <br />;? / S ^.22, 7 zip code. <br />. P~€n i/i r <br />Yes No <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br />t co /Qf J <br />—' F./Pr <br />-----------^-610 l?^F---- <br />~ ... <br />| Facility Hot Water Temperature <br />Hand Sink: " op <br />[Warewashing Sink: <br />. /l. ll'Zd/ <br />y__ <br />r? l/li--------- <br />VV \ a <br />-----s iv\F / — <br />3 D <>&<'•( lc.i-<^kvx <br />U X ( U C F--------------- <br />(A> C Tv^. vy _______ <br />. . -7/2- F- <br />, ,7T> <br />F LtS, Fc"yic. f '" flL ty <br />----hs- p <br />—ItV / 2.^ F