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Zip Code: <br />Telephone:Owner/Operator: <br />Inspection Type:Program Element: <br />Re-Inspection on or After:Permit Posted YesYesSB180 Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />@—Gm- <br />TemperatureItem / LocationItem/Location <br />Food Safety Certification <br />Chlorine:Name:°Fppm <br />Other:Quat. Amm.:Exp. Date:°F°F ppm <br />Time in: <br />EHD 16-24 (2nd pg) 4/3/13 <br />Warewashing <br />Heat: <br />San Joaquin County <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.orq/ehd <br />5U <br />Op ■ <br />Name of Facility: <br />Address: <br />-----------——I— <br />FOOD PROGRAM 0IR CONTINUATION <br />Facility Hot Water Temperature <br />Hand Sink: -p <br />Program Record: <br />toyi <br />Phone! <br />Time Out: <br />Temperature <br />475-336 - <br />/ Zr / J /zg4^2-4 ~Pj / ~1 , <br />p l £—f&OppW}_ • ---- - <br />(o z n [ <00 p — (o <br />7^/ <br />/ City: <br />\ x , Page ofI ,’Ttj PH___________Li 1 <br />CT) <br />—$ i <br />______M-S— <br />_______6061____________________v <br />________Sc\z\zVC \ <br />_____Food Program Official Inspection Report <br />—Al in <br />No <br />Ils f- <br />i>7P^ dye*C* <br />---l&V ppm—---- <br />*—pYaiAi Je. W ^44 M----------—- <br />_______________. . -------------------------------- ------------------------- <br />P< (OpV- [Obp <br />f-*- is La- ____ __________________ <br />Warewashing Sink: <br />Received By/Title: <br />EHsp"i,"5t: <br />AM '