Laserfiche WebLink
/ <br />vs- <br />n \ \ \ \z <br /><y'^-' v ";'"<&- |M2. <br />(\-AY3^z <br />\JOc-.^K \c<\—2. <br />(Wrx^ <br />Food Safety Certification <br />Heat:Chlorine:Name:°F <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:°F°F ppm <br />73 ■ <br />EHD 16-24 (2na pg) 4/3/13 <br />Warewashing <br />PPm <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 />__________SCx\ <br />Ok (TZ. <br />X <br />L2K <br />Received By / Title: <br />EH Specialist: <br />Time in: <br />MQg- <br />observations and corrective actions <br />Facility Hot Water Temperature <br />Hand Sink: «p <br />Name of Facility: <br />Address: <br />Owner/Operator: <br />Program Element: <br />SB180 Posted <br />ox <br />P - pp-r <br />Page of <br />FOOD PROGRAM OIR CONTINUATION <br />~_____ClVC <br />CQ F\\ < <br />SCI <br />______Ph°nl,: Hip ft- Q3K-> <br />Time Out: <br />\>-A—Wd\j— <br />VUj-o ) OS F <br />Se/e^nJCs?-^ <br />6A £ <br />FyT) ___________________ <br />xSoJMV'y Vo IXSF <br />Item/Location <br />□yscsF <br />....... <br />eVP___________ <br />Food Program Official Inspection Report______ <br />3 Date: <br />S CLFpo/V City: ZipCode: ciS2ob <br />Bccet-x Telephone: <br />IlSfS Program Record: ' | O] p. Inspection Type: c^. ~ <br /> Yes Hermit Posted Yes I Re-Inspection on or After: