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Zip Code:City: <br />Telephone: <br />Program Record:Program Element: <br />Permit PostedSB180 Posted <br /> <br />Cl CO5 C_l ' <br /> <br />\oe>Fcos <br />Item / LocationItem/Location <br />e3 <br />Name:PPm <br />Quat. Amm.:Exp. Date:°F PPm <br />Phone: EH Specialist: <br />Time in: <br />Inspection Type: <br />Re-Inspection on or After: <br />Warewashing <br />Heat: <br /> <br />V ^>1 <br />_uQ_r_ <br />tOo \O4 <br />Warewashing Sink: <br />______________ <br />-------------- <br />Chlorine: <br />/va\\ <br />iOther: <br />Temperature <br />'AOF <br />Temperature <br />M \ F <br />Page^f (, <br />FOOD PROGRAM OIR CONTINUATION <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />TV- ~ “ <br />F (V> <r-x O C <br />-------------- <br />°F <br />°F <br />SMol^-l <br />Yes No <br />Food Program Official Inspection Report_______ <br />Fm/x 'F-A Date: u(-Z^7~)7 <br />Received By/Title: 1 <br />U'.MOcw> <br />EHD 16-24 (2re)pg) 4/3/13 <br />(V\ f <br />Facility Hot Water Temperature <br />Hand Sink: »p <br />Yes No <br /> <br />aYA V~\>sr~\ck, <br />_ ■■■^ft <br />Food Safety Certification CAxx ) <br />San Joaquin Coil, i <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 /> <br />COG) <br /> <br />~~1 I F VO ^ \ \ \ \ tsy-x g <br />(TV'-p / I? kJ cJcc^~ \ Vi\2> <br />(g) T bhO' v> <br />F<z> VXajO F~V^<Ac7CkJY~x <br />cxs^slF—__________ _______ <br />/ l \i^L- l F <br />Time Out: /7vV\ <br />Name of Facility: yirzkA <br />Address: \ <br />Owner/Operator: