Laserfiche WebLink
£ n <br />Zip Code: <br /><1 <br />Permit Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />. t7-7 cL^ <br />tS-4 <zL^ CUrf- <br />^LL <br />>s <br />s <br />I <br />6^ t-^s <br />Chlorine:Name:ppm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:PPm <br />Phone: <br />Time in: <br />EHD 16-24 (2nd pg) 4/3/13 <br /><S) (2-0* <br />-f'-UsfCsl'C ^3 (Lc <br />San Joaquin Couk <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 />C <br />d >z <br />Warewashing <br />Heat: <br />Item / Location <br />& Ce <br />Temperature <br />page of <br />FOOD PROGRAM 0IR CONTINUATION <br />°F °F <br />°F <br />Temperature <br />Q/T2 <br />Tp&’f <br />___ /46or <br />/6VT^ <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Program Element: / <br />SB180 Posted Yes No <br />Item/Location <br />Ct') tkOGF' <br />2) __ _ <br />Food Safety Certification <br />Name of Facility: <br />Address: <br />Owner/Operator: <br />^53 -'?2iy <br />Time Out: <br />(2[) p 1 La'p'i C> <br /><^LC -f-) . <br />Received By/Title: ____ <br />^p^st^^^^Qs <br />- 1 <br />/ Z>^xs < j <br />rogram Record: <br />Yes No <br />Food Program Official Inspection Report_______ <br />~%nnLMl Da,e: <br />Al ■ 'C^\^c.k^ ZipCode: ¥5^4 <br />/ /Ws-cr, Te'ephone: <br />Program Record: /9/2 A) inspection Type:"^;^ <br />Re-Inspection on or After: ' <br />(-frl F or Mzg > <br />p ro Iq-^ r •