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Food Program Official Inspection Report <br />Date: <br />Owner/Operator:Telephone: <br />527^SO^2,c\ / <br />No 'SB180 Posted Permit Posted <br /> C Fry) i <br />o -Q <br /> <br /> <br /> <br />I ov - <br /> <br />- "Fq-gzI <br />Food Safety Certification <br />Name:Chlorine:PPm <br />Exp. Date:Warewashing Sink:Quat. Amm.:Other:°F °Fppm <br />ZReceived By / Title:/ <br />Phone: <br />Time Out: <br />EHD 16-24 (2Mpg) 4/3/13 <br />XCb <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br />Warewashing <br />Heat: <br />Name of Facility: L T” <br />Address:City: <br />Page-^of <br />FOOD PROGRAM OIR CONTINUATION <br /> <br /> <br /> <br />p- Qw_________ <br />CaVn~_c~\. k ij <br />Item/Location <br />°F <br />Facility Hot Water Temperature <br />Hand Sink: Op <br />EHSpecianst:^^^ <br />Time in: <—. <br />F/ fc- <br />> Vc <br />Avp l <br />i(7<r <br />< -(W <br />vk) I <br />; z <br />a "Z 2-ch IC^cJc_ <br />Temperature <br />Program Element. <br />Yes No <br />Inspection Type: T^-y <br />Re-Inspection on or After: <br />San Joaquin Col y <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 />' "L \ \3(X^Jc K <br />Temperature <br />- <br />Zip Code: <br />( AA<a^2) <br />Program Record: <br />Yes