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Chlorine: <br />Facility Hot Water Temperature <br />Hand Sink: 0 <br />\1d1Gt-h-d-nS <br />4r0 f- A-6 -CClAP_, VefzicTif -Frir 9-0-Ra <br />IC/VC <br />!tern/Location Temperature <br />Food Safety Certification Warewashing <br />PPm Heat: Name: <br />Exp. Date: Warewashing Sink: Quat. Amm.: PPm Other: °F <br />Item I Location Temperature <br />SAN JOAQUIN COUNIP <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siclov.orq/ehd <br /> <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: ,/kC‘ cAas vu)rluce \I el;icita .-i-to \sci Date: <br />Address: 2 42 . -t- Porado City: cip Ur-1-61-\ Zip Code: 63 520 Co <br />Owner/Operator: ju on so o c i Ck Telephone: <br />Program Element: 1(a-6 Program Record: ri2. c.) S 2 e 200 Inspection Type: izw+INe <br />SB180 Posted "Yes 0 Rermit Posted t Yes o I Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Received By / Title: <br /> <br />EH Specialist: Phone: <br />Time in: Time Out: <br /> <br />Page( 1 <br />FOOD PROGRAM OIR CONTINUATION EHD 16-24 (2,,d pg) 4/3/13 <br />