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Olc- tor 2_01- <br />a-He.c A-e-cc ace ‘201-id <br />Food Safety Certification Facility Hot Water Temperature <br />Hand Sink: oF Chlorine: <br />Warewashing <br />PPm Heat: °F <br />Item/Location Temperature <br />_ <br />Item / Location <br />Exp. Date: Warewashing Sink: Quat. Amm.: PPm Other: °F <br />Received By / Title: <br />EH Specialist: <br />ime in: <br />X 4•V <br />EHD 16-24 (2", pg) 4/3/13 <br />Phone: 0 t' fac:)._ 4z14c, <br />Time Out: ( os— Page to / <br />FOOD PROGRAM OIR CONTINUATION <br />Temperature <br />SAN JOAQUIN COU f <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 />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /><Name of Facility: -kArecit— 1.1\ thij LAfl-tChA Cp Att- 42, 140 isci Date: 10/2/ lc, <br />Address: <br />25 42 C • t \ pc/fudG City: ci-ocx_ftur, Zip Code: q7.* <br />Owner/Operator: ,AUCkil 14) Ct CACk c Telephone: D Act ...:2_15 <br />Program Element t (0-N6, Program Record: _ <br />C 52 tr2-C.)C-- InspectionType. • F-cAitrme- SB180 Posted('Tes No Permit Posted ries No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Pet ViCe"1 CAAS 41-2/Wrs 1') 0 crke . ycjCi ntaI n <br />cuN lirs-te,