Laserfiche WebLink
a&ct'City:Zip Code: <br />Owner/Operator:Telephone: <br />Program Element:Inspection Type: <br />SB180 Posted Re-Inspection on or After: <br />item/Location Item I Location Temperature <br />IFood Safety Certification <br />Name:Chlorine:°FPPm <br />Quat. Amm.:Other:Exp. Date:Warewashing Sink:°F °FPPm <br />Received By / Title: <br />EH Specialist: <br />Time in: <br />EHD 16-24 (2« 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/ehcl <br />Phone: <br />Name of Facility: <br />Address: <br />Warewashing <br />Heat: <br />ib _______ <br /> Yes Rermit Posted <br />Facility Hot Water Temperature <br />Hand Sink: op <br />r f OBSERVATIONS AND CORRECTIVE ACTIONS <br />/ .............. <br />Time Out: <br />...jT) & /o .< <br />Ji i I2o A. . <br />/lz7 tu. < <br />^3^2^ <br /> Yes I <br />PagV/of £? <br />FOOD PROGRAM 0IR CONTINUa/iON <br />Temperature <br />Food Program Official Inspection Report <br />Program Record: <br />_ j cl Pl 4 <br />Jr C^ypf. ti(£$31. <br />'C'Cts cPQflf^