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City: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />COS e | ~Q <br />5 i •' <br />w^Ac <br />Item / Location <br />Name:ppm <br />Other:Quat. Amm.:'arewashing Sink:Exp. Date:PPm <br />KPS' <br />Phone: <br />Time Out: <br />i <br />r> <br />o Pi _ <br />HkaB-OSSQ <br />'TILS <br />Facility Hot Water <br />land Sink: <br />San Joaquin Coun; <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 />°F <br />Q-xjt-)_______vqz ____________ <br />Temperature <br />•zep <br />.y <br />Warewashing <br />|Heat: <br />| Temperature <br />(I O(— <br />°F <br />°F <br />Page i of .- <br />FOOD PROGRAM OIR CONTINUATION <br />I3 ( <br />De )( Q^\ <br />CA O £ “ 'JlJt <br />lZTXKjs-><A <br />Food <br />Date: <( - | - I fi <br />Zip Code: c1^2MQ <br />Telephone: <br />inspection ~ _ <br />Re-Inspection on or After: ' | <br />C?) OTF kS&Q <br />(kVz<2- IIFVF <br />vSP~~ St— <br />I Item/Location <br />£ <br />-VO I <br />Too F -H1 1 <br />-k --Vp <br />k V-.-; <br />Food Program Official Inspection Report <br />\rSee< <br />ATI JLgCorcl CsV_______ <br />Program RecoMf: <br />Permit Posted Yes No <br />LaTcA Co? () <br />115 F <br />\K 'I (K/Oa aJ e'O1^ <br />2/3 pv <br />op Chlorine: <br />Name of Facility: ( <r\x-C< <br />Address: < <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes No <br />Received By / Title: <br />EH Specialist: — <br />Time in: t <br />EHD 16-24 (a™5 pg) 4/3/13