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Food Program Official Inspection Report <br />Date: <br />Zip Code: <br />Telephone: <br />S b <br />SB180 Posted Permit Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />C Ft IF <br />'soe> <br />o p <br />< C-"KoI <br />o <br />o <br />o <br />5 <br />•Q • <br />Item/Location Temperature Item / Location Temperature <br />Food Safety Certification <br />Name:°Fppm <br />Exp. Date:Warewashing Sink:Other:°F °FPPm <br />Time Out: <br />Chlorine: <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.sjqov.org/ehcl <br />~7 - I ~7~ I 7 <br />Page_pf <br />FOOD PROGRAM 0IR CONTINUATION <br />Qu^t. Amm.: <br />Heat: <br />Inspection Typ^^. ^ U <br />Re-Inspection on or After: <br />Received By/Title: (z'V <br />EH Specialist: <br />Time in: <br />EHD 16-24 (Z'-pg) 4/3>13 <br />V <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Program Record: . <br />Yes No" J <br />Program Element:^,^ / <br />Yes No <br />I - <br />(?Ar\ c~ <br />c Paa I i y <br />- m <br />Name of Facility: [Y* <br />Address: ^QS <br />Owner/Operator: <br />OV Ao