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w: <br />pH <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />r^’iwW Temperature <br />Name: <br />U <br />Phone: <br />Time Out:_____________ <br />San Joaquin County <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 />Name of Facility: <br />Address: <br />Owner/Operator: <br />Program Element: <br />SB180 Posted <br />___ _ <br />Chlorine: <br />Quat. Amm.: <br />Warewashing <br />Heat: <br />Other: <br />ppm <br />PPm <br />Page | of y I <br />FOOD PROGRAM 0IR CONTINUATION <br />°F <br />°F <br />Item/Location <br />ao3 <br />G) n/iiYic /(Lifu.^ue□ nnimum i-ziiAT ■ YVtfhuo___Am vvc^- <br />Food Safety Certification <br />Received By / Titld^ <br />EH Specialist? I 174 / CC <br />t'.e'n: <br />EHD 16-24 (2nopg) 4/3/13 <br />Temperature <br />Food Program Official Inspection Report <br />TOK DAWOS fe? <br />TTT J cl»lzi.T)^Pp apcodeiq^^ <br />Telephone: ~ QZ^X <br />0^ Inspection Type: 1 W <br />No Re-Inspection on or After: <br />i: HrMTn KKC,., • <br />DmuT <br />T; Program Record: <br />Yes /No | Permit Posted Yes <br />iZovcIiM n/)nTuTAgr ViO&JtgvT^ <br />01? yt^-i n /tS / J <br />OMl? I55W <br />Facility Hot Water Temperature <br />Hand Sink^| <br />Warewashing Sink: oF