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(XXX <br />Zip Code:City: <br />Telephone:Owner/Operator: <br />Inspection Type: <br />Re-Inspection on or After:SB180 Posted <br />3c\ - <br />\ c <br />ppm <br />Other:Quat. Amm.:Warewashing Sink:°F°F PPm <br />Received By / Title: <br />Phone:EH Specialist: <br />Time Out:Time in: <br />EHD 16-24 (2"a pg) 4/3/13 <br />SHO2S2 <br /> Yes I <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 />3 b 3- OSSo <br />5?, <br />Name of Facility: <br />Address: <br />~7^\ F - <br />OBSERVATIONS AND CORRECTIVE ACTIONS ............................................................. ............--------—.......................................... <br />|~t f • H <br />Warewashing <br />Heat: <br />■■■■I <br />Chlorine: <br />qV\-F <br /><•*41 <br />Food Program Official Inspection Report_______ <br />Date: -7-4 -[y, <br />C1 <br />Item/Location <br />.) k cbcyrex V < <br />Food Safety Certification <br />Name: <br />Exp. Date: <br />VV'WYhH'y ~5 <br />33' <br />a 2 5 r <br />^<^0 C<A 3 w <br />yltem / Location <br />FPs33_yoxa. <br />Facility Hot Water Temperature ' <br />Hand Sink: op <br />I 33 ,<2^0- I 1 ~ <br />E <br />V2-O\ <br />y3 <br />jCf) 9^ Fov-x 3.3 <br />kA-hj—pF- eV'—t V~ <br />SOL**. C3cvv-^ — <br />,303^ <br />A- r^~' 'S <br />—^--3—- C <br />Pag?, of <br />' ' FOOD PROGRAM OIR CONTINUATION <br />k3 Pxyr\ <br />-k<2> l (TO 1— <br />r----"V ' _ <br />Temperature <br />\ bn 1- <br />_________I35P <br />lOftF <br />°F <br />----------- <br />335F <br />__________ _ CFcxvF <br />Program Element: , . c- Program Record: <br /> Yes Rermit Posted