Laserfiche WebLink
1/ <br />5 <br />TemperatureItem / LocationItem/Location <br />-Food Safety Certification <br />chlorine:°FName:ppm <br />Warewashing Sink:Exp. Date:°Fppm <br />Phone: <br />Time Out:Time in: <br />Warewashing <br />Heat: <br />Other: <br />San Joaquin Coun i 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.sjqov.orq/ehd <br />RVATIONS AND CORRECTIVE ACTIONS <br />/I -MT <br />Date: <br />Zip Code: <br />Telephone: <br />____ |nspectionType:<^>? <br />Re-Inspection on or After: / <br />________ Food Program Official Inspection Report <br />Name of Facility: r~ r ^7 ^44^5 <br />Address: O O I A? L Zx <br />FOOD PROGRAM 0IR CONTINUATION <br />EW1 I AG- <br />I------- <br />Z l <br />MO <br />Go C> <br />^4/^7 <br />Yes No <br />I Facility Hot Water Temperature <br />Hand Sink: °F <br />»F llQuat. Amm.: <br />____44^ La <br />iz.-bJ')— <br />mt'7^444 <br />< IZt^a< - 1 H it ‘ <br />L_a9 /- aiMny- - <br />... <br />r Wvhz /4 (d c^)i _________ <br />Temperature <br />4 <br />4-7 y <br />Received By/Title: ~ <br />EHSpooWlst: 'T) 2 <br />EHD 16-24 (2nd pg) 4/3/13 <br />2g_l /V MM-, <br />Owner/Operator: z <br />Program Element: | yProgram Record: <br />SB180 Posted Yes No Permit Posted <br />5>