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'h ) 0 ■ <br />Zip Code:SsV City: <br />Telephone: <br />Program Record:Program Element: <br />Permit PostedNoSB180 Posted Yes <br />Z - <br />r> <br />W) UC F ■A.z or ~ <br />QAro<F-n- </y> <br />■y- <br />TemperatureTemperature I Item / Location <br />hlorine:Name:°F <br />luat. Amm.:'arewashing Sink:DF ppmExp. Date: <br />Received By/Title: <br />Phone: <br />Time Out: <br />EHD 16-24 (2nopg) 4/3/13 <br />Warewashing <br />Heat: <br />°F <br />vx v' OO <br />Name of Facility: <br />Address: <br />EH Specialist. <br />Time in: O Page^f <br />FOOD PROGRAM OIR CONTINUATION <br />\Z>\ <br />ad Safety Certification <br />Yes No <br />Facility Hot Water Temperature <br />land Sink: »F <br />Item/Location <br />Co C1 Z1 <br />Owner/Operator: <br />3-yaS 4 Q>-l /\~ZZ - ___________________________________ <br />S _______________________ <br />A 6^—YV^ AO V vZZ Q \ Z Zlr \ V Ochyvyt^ - <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/ehcl <br />t< Z-OCA-lo^ ?-?>3| B <br />Food Program Official Inspection Report_______ <br />Dale: °\ \ \ - 2.S <br />Inspection Type:—t—c, <br />Re-Inspection on or After: \ <br /><^-6 . C«-z/' <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />ppm <br />Other: