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City: <br />$2/Pfc>r6 <br />/ Re-lnspi <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />1 <br />7-^ <br />I Temperature TemperatureItem / Locationitem/Location <br />Food Safety Certification <br />hlorine:Name:ppm <br />Other:luat. Amm.:rrewashmg blnk:Exp. Date:°FPPm <br />Received By / Title: ZJ <br />EH Specialist: <br />Page ofTime in: <br />EHD 16-24 (2nopg) 4/3/13 <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 />c <br />7^ <br />°F <br />Warewashing <br />Heat: <br /><2 <br />7.01-6/6 -3^2^ <br />FOOD PROGRAM 0IR CONTINUATION <br />°F <br />yo (a > <br />Facility Hot Water Temperature <br />Hand Sink: <br />j? (jZ <br />lA, \ 1 C. <br />(P) rfpC/l. Y)~^e <br />- <br />/V? 5 j • <br />-J M <br />(>L L <br />MS <br />r ■_______________________________ _____________________ _______ <br />7) / /'— <br />i cc ■----------- <br />^r\4AAxL/\ y^n •_________ <br />. /v7 5 ^Za./r^-Z SfAm___7 <br />(j) sr/FF^/105 fix*?-—77— < <br />—S})----GvvU-l-------------------1 --- <br />IZ- _____/Mr c c ^y\ ( -______________ <br />--------------------------------- <br />v . u i/d — y 3rAwip _________H,S 11^ KvGe,[A-H-^ ll|2-v- ( <br />ZZIZ^ <br />____F JS F& [-'m f) t F . Cqs <br />2- Pl F-______________ <br />________ Food Program Official Inspection Report______ <br />Name of Facility: z <br />Address: <br />Owner/Operator: Telephone: <br />Program Bementy^y^^-Program Record: 2^ Inspection Type: <br />SB180 Posted Yes Mo Permit Posted Yes INo ' / Re-Inspection on or After: <br />TTZt W/