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Date: <br />Zip Code:City: <br />Telephone:Owner/Operator: <br />SB180 Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />£. <br />-VcQ <br />c y <br />•j — <br />4-^\x>. <br />Temperatare Item / LocationItem/Locatioff <br />k <br />..— <br />Food <br />Chlorine:Name:°Fppm <br />Other:Exp. Date:Warewashing Sink:Quat. Amm.:°F°F PPm <br />Received By / Title: <br />EH Specialist: <br />Time in: <br />O-rr3~r^. <br />C \r-k<2WV <br />_________________ <br />Yv\52A~ <br />VVvaJ \ IS R <br />FOOD PROGRAM OIR CONTINUATION <br />££ <br />Name of Facility: <br />Address: <br />2 <j-Q iV <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Q'Xp'\SV"\ <br /> Yes DI <br />Food Program Official Inspection Report <br />s <br />\ ‘■Vj -J - <br />ci-aJc^ <br />Safety Certificatior <br />Temperature I <br />HU- <br />Page j of <br />a <br />O C-<YC^> ■ <br />Ue-A' <br />San Joaquin CounO^ <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/ehcl <br />I22p P <br />A 3CL(2p-n <br />shing <br />Heat: <br />V~O/\ eC <br />- \o\\-_______ <br />V>\ \ <br />s V Al-aaUX <br />_tp th = <br />H. \S ntvx______ <br />EHD 16-24 (2"Jpg) 4/3/13 ' <br />Inspection Type: <_ G ( <br />Re-Inspection on or After: I <br />Tindl'te /GWIT p//ecfe <br />__ ______Pl'°ne: -.ca CG?- <br />time Out: — < 'SO <br />__kSLuaiZ <br />\OQ| vO fOxjXGx <br />_____________ZxZXsvX C-VxowxVi-fcz- <br />Program Element: ' Program Record: <br /> Yes Hermit Posted <br />S2X J if) I. ■v*\ /RTX^