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OBSERVATIONS AND CORRECTIVE ACTIONS <br />1 <br />TemperaturItern/Location Item I Location <br />!Food Safety Certification <br />o <br />Warewashing <br />Heat: <br />Other: <br />ppm <br />ppm <br />Chlorine: <br />Quat. Amm.: <br />Facility Hot Water Temperature <br />Hand Sink: Op <br />Warewashing Sink: op <br />Name: <br />Exp. Date: <br />^0^ <br />I Temperature F <br />2 <br />dkS><qn4 gnu <br />0^. Cc£>fr- "hm£ ■ I <br />A San Joaquin Cg jty <br />Environmental Health <br />-i pea pact Hazelton Avenue, Stockton, CA 95205 623 <br />Telepho'Sm 468-3420 Fax: (209) 464-0138 Web: www.siqov.orgfehd <br />Fbono: <br />Timeout: QQ) Page |of^ <br />FOOD PROGRAM OIR CONTINUA <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT ------ <br />— <br />----------------------- <br />fa W ad Cl C----\ \ ZV r "it - Inspection Type: <br />I GQ P7 Program Record: (7 (jC, __________________________ _______----------------------------------- <br />------J----------------_—— ——l ——————jRe.|nspection on or After: <br />q---------------------------------------------Doo+zaH Y AQ IMO 1 <br />---------TTf-------z. -r u-T---------------------------- vte-r W tz>.— <br />ug-MC&v______________________________________n <br />3ZZSnE5^ <br />_____________________ €\vpS< PHjvfcfc -p^r <br />Wt qhc\ V&w pv^ wnq ______ <br />ice OT\\\j RxoG J'm fted Qpodjg- Cor^WfS <br />~£4e>A£> into didrvQS.. <br />- t€ bi 1 nC <br />i eg i cor - <br />cnCdcA twirc, a-r.4^r a <br />-Ob <br />Received By/Title: <br />EH Specialist: f 12)1 <br />Time | \ 0O (J) <br />EHD 16-24 (2nd pg) 4/3/13 <br />ciuk TDrTd^?- <br />- ot q-v <br />-hO iMionnl <br />Name of Facility: SQG <br />Address: | fo£^j <br />Owner/Operator: Q<A I <br />Program Element: Program Record: <br />SB180 Posted No Permit Posted Yes No <br />(7Y MyZ4 h> <br />*n 3 ■ 7 c ' <br />in QPrcd>VlAiXj <br />iaoac. inta ctobbr <br />ipQ fnScA \Ce <br />OB g. wF <br />ttzaa