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OBSERVATIONS AND CORRECTIVE ACTIONS <br />Comoro <br />Item / Location TemperatureTemperature <br />EHD 16-24 (2"dpg) 4/3/13 <br />Chlorine: <br />Quat. Amm.: <br />Warewashing <br />Heat: <br />Other: <br />PPm <br />PPm <br />..... <br />Phone: <br />Time Out: <br />Received By / Title: <br />EH Specialist: <br />Time in: <br />No <br />Facility Hot Water Temperature <br />Hand Sink: Op <br />Warewashing Sink: op <br />Ac Y&twF <br />Name of Facility: <br />Address: <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes <br />---- „ v „ w - --------„ <br />Food Safety Certification <br />Name: <br />Exp. Date: <br />San Joaquin Cou y <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 />ft) fcTOcSaoVS ■' <br />__' Ho tor vjgW <br />- Ho <br />XtCj 4&^-34 4^ <br />Page^f <br />FOOD PROGRAM 0IR CONTINUATION <br />Record: ^4 GQ? <br />Yes No <br />cWrzh^W- <br />-po toV \\7o&h - _____________________ <br />W prsvidC toJcxj. <br />' CtoWx on S*onM \s cxV WC - I3S~F. tkAjuSf- <br />CV - <br />Item/Location Ten <br />-------------:---------------------------------------------------------------------------------------------------------------■■■ _________________________________________ <br />. I <br />tottooto STahoH <br />VvWt rcvrCGl^cL <br />'NO W stoVS- <br />-OP- to <br />~~ <br />°F <br />°F <br />-OH <br />fy frvcHcllCs (tockn ’• <br />- CwC>r sYvc opw q Cto pcg-vto in - <br />- lAcf Cfo iov4\'tP<4. y0v~id <br />•4 cavy) <^46 ysKi oh C tA^rto/ \A \S Wck£ to____ <br />toot ciV C4 VoZ toyO \d&2\ s. V< todXL <br />ZZloZ________ <br />Food Program Official Inspection Report_______ <br />JoCUffljyD WtolC Tt£toCA\ Date: <br />s». City: tow-to ziPCode: Q5 Zu <br />upg- Gtojto____________________Telephone:___________ <br />Program Record: V 0^4 QQ? Inspection Type: <br />Permit Posted Yes No Re-Inspection on or After: