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Date: <br />City:Zip Code:(kA, <br />Telephone: <br />Program Element:Program Record:Inspection Type: <br />SB180 Posted <br />: I Jl <br />„ \ <br />V'-r <br />Item / Location i TemperatureTemperatureIteta/Ldnati® <br />Food Safety Certification 1 <br />Name:°Fppm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:°F°F PPm <br />Phone:EH Specialist: <br />Time Out:Time in: <br />EHD 16-24 (2« pg) 4/3/13 <br />Warewashing <br />Heat: <br />n- <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 />a <br />Chlorine: <br />Name of Facility: <br />Address: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />to <br />3 3^ <br />_____________ <br /> Yes Hermit Posted <br />J Facility Hot Water Temperature <br />Hand Sink: op <br />HOF <br />Food Program Official Inspection Report <br /><4 3 <br />Ox POTT <br />WO i Ok?) r <br />Received By / Tit'e^ j <br />A rxSvC Q - <br />______\OC)\ ' <br />Owner/Operator: <br />A- r-^nr-» <br />R’r <br />'sr ' ~ Page -» <br />j o I <br />I FOOD PROGRAM 0IR CONTINUATION <br />Re-Inspection on or After: