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Zip Code: <br />Owner/Operator:Telephone: <br />Program Record:Inspection Type: <br />SB180 Posted Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />r \ c <br />Sr <br />S <br />-cm <br />(3 m\w. <br />me <br />TemperatureItem / LocationItem/Location Temperature <br />Food Safety Certification <br />hlorine:Name:ppm <br />Warewashing Sink:!uat. Amm.:Other:Exp. Date:F °FPPm <br />Phone: <br />Time Out: <br />EHD 16-24 (2nopg) 4/3/13 <br />EH Specialist: <br />Time in: < <br />A fo 8-03^, <br />A .45^^ <br />(55 <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 />\ v T- ''--''I <br />City: <br />Warewashing <br />(Heat: <br />Name of Facility: <br />Address: <br />SI,-? <br /> I <br />Food Program Official Inspection Report <br />m-vV _______Date: <br /> Yesi <br />°F <br />mm <br />X. O <■ -Ve <br />s \ ~ve . <br />C_A-> f A J t <br />Facility Hot Water Temperature <br />Hand Sink: op <br />(\ <br />CzxJ^-xbVZ <br />_______ <br />A? <br />Xi?— <br />Program Element^ _____________ <br /> Yes Permit Posted <br />? (_f <br />? \ ( r-x- 0 A-A-f’ k <br />5-Vsv-e <br />Cvy-xr-^-^-g-cA • <br />1 -Cp" S VyO C-I <br />:\^ ).______________________________________ <br />Received By / Title: <br />___YXG^^-z, <br />Page^of <br />FOOD PROGRAM 0IR CONTINUATION