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Temperature <br />Facility Hot Water Tempera <br />Hand Sink: Name: <br />Time Out: Time in: 5 :00 <br />EHD 16-24 (2" pg) 4/3/13 <br />Page, <br />L. <br />FOOD PROGRAM OIR CONTINUATION <br />Aiioist-bes)-75 <br />0-1 <- -/-0 s ce-e_ rrn.;71-- 2-o As <br />Temperature Item / Location Item/Location <br />Exp. Date: Warewashing Sink: Quat. Amm.: ppm Other: °F <br />Received By / Title: <br />La, 4)63 -'76)/7 Phone: <br />°F PPm <br />EH Specialist: <br />Warewashin _ <br />Heat: Chlorine: <br />SAN JOAQUIN COU <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www siciov o rq/e hd <br /> <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: --TytAx.et._ ,5.4.0_,.0-0 d Date: -3 _A.5. <br />Address: <br />/0 0 6. C I DO al-a City: S 0 c_r_y_o ,...) Zip Code: 4. 9 2,0 2 <br />Owner/Operator: --i-ha_vt. /0 '41 1 0 0" /47.A.Af i l h Telephone: Li 13 _ 7 / 902_ <br />Program Element: / b 3 4, Prom Record: p fR.1 05 3/ / a_ / Inspection Type: Cetjet-t- <br />SB180 Posted )(Yes r Rermit Posted X Yes 0 I Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />----tic, p &//95 <br /> 62 cci 2-58o/ii I/ 752