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0 Yes 0 I Re-Inspection on or After: 0 Yes U Hermit Posted SB180 Posted <br />Time in: r, <br />- <br />EH Specialist: Phone: <br /> 4H) - itc--) iaf Time Out: g 4O „,age <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Item/Location Tern <br />Owner/Operator: pe <br />on M-orc ti ecaplephone: Q.) \ _ <br />Inspecfn Type: r • • UlY 11-64-huR Program Element: Program Record: ou -t-lei co <br />Name of Facility: Co VF-Odk1C(2- <br />92-C1 t <br />Date: 41( ri <br />City: -1\--r Zip Code: Address: <br />cknss-e/ # <br />vzoN 1-1-‘12, i-or\oiv -i 1\9 (Qcrs oP kx;rh o <br />11-w— NiEl-ocAZ <br />- ç 1u2-s 110T1'tei 3 c' <br />sio-le 7:17c af) - <br />SSur2- 'p-e,c2-rn Ck-f 40Z- -W <br />t11- void - 17S = 10-7)(2 <br />Facility Hot Water Temperature 11 INarewashing <br />Hand Sink: .F Chlorine: ppm Heat: <br />Warewashing Sink:Quat. Amm.: Other: ° ppm <br />Received By / Title: <br />Food Safety Certification <br />Name: <br />Exp. Date: <br />°F <br />SAN JOAQUIN COUN <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www sjciov .orglehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />EHD 16-24 (2^, pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION