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\ < <br />City:Zip Code: <br />Telephone: <br />Program Element:Program Record:Inspection Type: <br />SB180 Posted Yes I Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />cA <br />s <br />cm <br />z <br />£ <br />M-A -V<-> f«I kYOP <br />Temperaturej Temperature Item I Location <br />IWJF <br />Food Safety Certification <br />Name:°FaExp. Date:Warewashing Sink:Quat Amm.:°F °F <br />Received By / Title: <br />EH Specialist:Phone: <br />Time in:Time Out: <br />V\5VA cvf ‘i <br />o<f ( i v-Q. <br />O \o <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 />16-^4 (2nd pg) 4/3/13 <br />' <br />__v <br />I <br />Chlorine: <br />EHD <br />Name of Facility: <br />Address: <br />CJVX i-r\ <br />VoA 5 <br /> Yes 0 Hermit Posted <br />Facility Hot Water Temperature <br />Hand Sink: op <br />C LMt/JeA I-' <br />s <br />Page^of — <br />FOOD PROGRAM 0IR CONTINUATION <br />Food Program Official Inspection Report_____ <br />Date: <br />^5 3*0 to <br />Mb?)- OSoO <br />v?'. %Sp <br />c io yt <br />sM\ <br />- ; <br />Item/Location <br />Owner/Operator: <br />ZxTC3 pp>rT <br />. H -Vh i r( <br />-o\< <br />~St-Ve . <br />cxyoco ~\O I y— ( <br />SQc>V? , <br />Warewashing <br />ppm |Other-