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SAN JOAQUIN COUNTY <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.orci/ehd <br />OD PROGRAM OFFICIAL INSPECTION REPORT <br />OBSE VATIONS ANDSORRECTIVE ACTIONS <br />Ci <br />. <br />\ <br />— '\---0(\ <br />44 -L.1-\7e:4 0-,1- (A.. \"\\,..."- t\r\ .-S-----k— <br />i,\--.).--k <br />C ..‘-l*-\-2 *5-Q-e b. <br />Ck) -WeA <br />-\--(50,-, Tr--( ee-2e Of , e-4 <br />\- <br />_\c ik 0--2A-e. <br />C--c\C\ c•"\."..._,Ie c2.71S <br />Item/Location Temperature item /Locatio Temperature <br />_ — <br />r- `c \ CC\e') -(c V\ V" I. ---,-:- 4 0 E <br />n 0".Q97 -1z. 4 k I- <br />-. F <br />s LC <br />od Safety Certification Facility Hot Water Temperature <br />Name: Hand Sink: o F Chlorine: ppm eat: °F <br />Exp. Date: Warewashing Sink: °F Quat. Amm.: ppm Other: °F <br />Received By / Title: <br />EH Specialist:Phone: . <br />c7e4-12.-....N•4? (_--- Nr•V\CIV-"caZ t. ,i _ <br />Time in:Time Out: Page,_of <br />Name of Facility: Ni \.. \,,f, , 0,-2,e k..... t - /---i Date: <br />Address: City: Zip Code: <br />Owner/Operator: Telephone: <br />Program Element: <br />y.. <br />, ,. , /IL ci s <br />Vie <br />Program Record: -3- 7 2. 7 S- s•-, 2. k..) 7 2- <br />Inspection Type: <br />, <br />SB180 Posted Yes No - Permit Posted Yes No Re-Inspection on or After: <br />END 16-24 (2nd pg) 4/3/13