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:< <br />City: v A6T <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />cL <br />Temperature Item / Location TemperatureItem/Location <br />Chlorine: <br />iQuat. Amm.: <br />°F <br />°F <br />Name of Facility: ’• <br />Address: <br />Owner/Operator: <br />Program Element: <br />SB180 Posted <br />TO <br />K6 <br />Facility Hot Water Temperature <br />Hand Sink: ojT <br />I _ <br />Warewashing Sink: <br />■ <br />ffi <br />Food Safety Certification Warewashing <br />ppm |Heat: <br />ppm :°thf!r: <br />San Joaquin Coi :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 />- Jo Hav-C \lc. <br />- w umilos^- r <br />phone: ijoa - - 6 f4k <br />Time Out: t QJ Pag^ of <br />FOOD PROGRAM 0IR CONTINUATION <br />W-W WCAfoCJ- -WfoM troduofe <br />c?T\ \(jl. 'CdMf WQS> <br />~ Anta <br />- CQbRd'irbfc/ <br />cawA <br />Received By/Title: <br />EH Specialist: <br />me'"1 |D.^p <br />EHD 16-24 (2nlipg) 4/3/13 <br />f—-—- ■ ■ L__________,_______________ <br />Kzas end <^rvi(jL \MndaX 6W€ opgN. <br />do^ed ca yeavAch? <br />Food Program Official Inspection Report ______ <br />TCSVW) Date:^/^/)^ <br />S- fhypc^V___________Citv; W ZjpCode: <br />ShoTim Mcl^nugjs___________________ <br />IuZIE) Program Record: Inspection Type:^^ <br />Yes No Permit Posted Yes No Re-Inspection on or After: <br />Tj ofthis Tyre <br />adug Ihf, aUr wecg, riw <br />' HeM<; <br />_______r<->4gV n\\n/nno-/go<edcmiuz. <br />vMI cAkrT £.lgCTz-i<>'tu? nev wo^er,— <br />fa k nl- 4Cr- <br />Name: <br />Exp. Date: