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Zip Code: <br />Telephone: <br />Program Record:Program Element: <br />Permit PostedNoSB180 Posted Yes <br />V <br />foy o( < <br />E\A <br />V <br />I <br />(S2- <br />ppm <br />Other:arewashing Sink:°F ppm <br />Received By / Title: <br />Time in: <br />EHD 16-24 (2napg) 4/3/13 <br />Name: ’ <br />Exp?Date: <br />Food Safety Certification <br />°F <br />) —i <br />/-x \ \r\< <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 />rtf <br />Warewashing <br />Heat: <br />Temperature <br />AB Oj <br />AOv r <br />Temperature <br />nbr <br />ie>i f <br />S M F <br />[Quat. Amm.:°F <br />Chlorine: <br />e\-q B <br />Yes No <br />Phone: 1 SQZjS_______ <br />TimeOut: Page; of y <br />FOOD PROGRAM 0IR CONTINUATION <br />_____________________ <br />I Facility Hot Water Temperature <br />Hand Sink: <br />Item/Location <br />EH SpecialistLjvJ <br />z’.lo <br />Inspection Typety <br />Re-Inspection on or After: <br />- OBSERVATIONS AND CORRECTIVE ACTIONS <br />Name of Facility: p F <br />Address: <br />Owner/Operator: <br />Food Program Official Inspection Report_____ <br />_______ y)Pate: <br />‘SA- City' VavK a <br />c\ -UbF? VJOpporx C \ <br /><,4^- • CrK-_____________