Laserfiche WebLink
Zip Code:City: <br />Telephone:Owner/Operator: <br />Inspection Type:Program Record:Program Element: <br />Re-Inspection on or After:Yes NoPermit PostedNoYesSB180 Posted <br />1 <br />c <br />A <br />HE <br />TemperatureItem / Location <br />Food Safety Certification <br />Chlorine:°FName: <br />ither:°FppmExp. Date: <br />3 Phone:EH Specialist: <br />lo Page ofTime Out:Time in: <br />FOOD PROGRAM OIR CONTINUATION <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 />-h <br />Name of Facility: <br />Address: <br />Food Program Official Inspection Report <br />Date: <br />I ______I I —y: <br />7, Av y <br />Item/Location <br />Warewashing <br />ppm lHeat: <br />IlWarewashing Sink: <br />3 <br />1 <br />4? kk zy /Lt <br />L C\f <br />/ -Qi' <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />,T7J2. •,rZ <br />______zz—^I/SkaA-- r Mr <br />.fr_z./£-7 < gg-/ x / y <br />7, Qz/f: cr/> <br />________-_______ <br />Cd t c 7° <br />Cl '1(cc fas- ySd <br />iV> //> <br />Received By / Title: // / <br />4 Ai <br />EHD 16-24 (2nd pg) 4/3/13 <br />4 s WEiITT:i l^ >u{ /.S <br />Temperature ' <br />Facility Hot Water Temperature <br />|Hand Sink: °F <br />T^niOuat. Amm.: