Laserfiche WebLink
City: <br />OCAp. <br />| Temperature Item / Location TemperatureItem/Location <br />Food Safety Certification <br />Chlorine:Heat:Name: <br />Quat. Amm.:Other:Exp. Date:°F°F ppm <br />EHD 16-24 (2"Opg) 4/3/13 <br />Warewashing <br />ppm ^Heat:°F <br />Received By/Title: <br />EH Specialist: / /' <br />Time in: (H" <br />-wo <br />Facility Hot Water Temperature <br />Hand Sink: op <br />CA-V sqf. <br />if) 9- VvS <br />1 at <br />Name of Facility: <br />Address: 9 V 9 (j <br />Si. <br />\ VjQS <br />No <br />A ’ <br />rAt- <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes <br />Warewashing Sink: <br />\r\ <br />\f>ta The- <br />' hiF atl^F. TtwS <br />\w(yjQ^X FZ> YtxX <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />'Tjf ViHAWnp is O-T Lt W<s <br />fi-c\\iASV t*> 41F err . T4€ <br />CoMpaftKWt W\cJn <br />Zb) > <br />-OF • <br />San Joaquin Col 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.siqov.orq/ehd <br />Ph°ne; <br />Time Out: Page^af <br />FOOD PROGRAM 0IR CONTINUATION <br />______Food Program Official Inspection Report <br />st. unUS church Date: <br />S. B St______ City: StOCFW zipCode: <br />VwuS f ____________________Telephone: <br />Program Record: "’(L ' / -x'> Inspection Type: <br />Permit Posted Yes ‘ No Re-Inspection on or After: <br />r Ttw stove yhrn tw <br />pouth ww c^dThg^ fatoo s dVizttngcA- <br />cAr is eft JK<z\uSt t7> T|F- I-VtvaS <br />ynfo Vn^z^r \4vdh \S Oct anF*