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O <br />City:Zip Code:1 <br />Telephone: <br />Program Element: <br />(tn p <br />■ m/T <br />I r.-\. /? r -/, ,'r?< <br />/ » 6ltj f i enJ <br />■L. /J <br />4 c //aS ; n V. <br />•S u/1 e ir <br />Item / LocationItem/Location TemperatureTemperature <br />Food Safety Certification <br />Name:°Fppm <br />'arewashing Sink:Exp. Date:ither:°Fppm <br />Received B' <br />EH Specialist:Phone: <br />Time in:Time Out: <br />017} n . s 5 ; .-n <br />81<> <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />"7 cj,"/"r <br />LcuaJf* _5 <br />San Joaquin Cour4^t <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjqov.orq/ehd <br />6 <br />Warewashing <br />iHeat: <br />/ 2 /2. - ij <br />9^23 c <br />Permit Posted Yes No <br />Id bet. <br />Re-Inspection on or After: <br />V) Il <br />I.IS <br />Chlorine: <br />r\ it n 7 <br />4&t/ci <br />I h; <br />KCu_______A 4 <br />Zo // C C <br />Program Record: <br />i n <br />0 <br />•k <br />3) <br />k ct. <br />Cc rr\) <br />It u/g/j <br />( m f, i, !'/ <br />pc- per <br />I r\ <br />Cc~ t c e c <br />■3 <br />fa v t $ t- <br />V c <br />L £3 I KrC <br />Ct rtq / hj/e - / ff J f <br />p £>t;4; billiesUh_____p c r m, t <br />~ i <br />3 e|C t vt <br />;J r I (2 )- <br />I ti be h______k c <br />Page of <br />FOOD PROGRAM 0IR CONTINUATION <br />OH <br />J <br />fcjQ-} 6cc kh _ <br />Pt,1 </’■ t M I .tA,> <br />-------- <br />K f m c i/v <br />or <br />if.AW <br />k I <br />Pr* etc <br />Ra.d 1 <br />Facility Hot Water Temperature <br />[HandT Sink: op <br />op llQuat. Amm.: <br />Name of Facility: <br />Address: £" - <br />Owner/Operator: <br />y r<. v. a a <br />AluJUJuJ, \2ts. <br />_____Food Program Official Inspection Report <br />/A? I i v S On I Ft Date~ <br />______TV) tin <br />Au Jy___ <br />7 (‘,S J <br />SB180 Posted Yes No