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City: <br />Owner/Operator:Telephone: <br />Program Element: <br />SB 180 Posted Yes Permit Posted <br />NATIONS AND CORRECTIVE ACTIONS <br />c^vec^ecT <br />0 <br />Item/Location TemperatureItem / Location■ <br />Food Safety Certification <br />Chlorine:Name:lHeat:°Fppm <br />Quat. Amm.:•ther:Exp. Date:°Fppm <br />Received By / Title: <br />EH Specialist: <br />Time in: <br />EHD 16-24 (2ndpg) 4/3/13 <br />W »-I K Vj <br />Name of Facility: <br />Address: <br />Facility Hot Water Temperature <br />Hand Sink: ZZ <br />Page^of <br />FOOD PROGRAM OIR CONTINUATION <br />Yes No <br />'arewashing Sink: op <br />;■ £ 2<:;X< 2J^EZ2HXZZIZZ3ZI <br />Tjme Out: <br />Inspection Type: p <br />Re-Inspection on or After: <br />... <br />- VO ’ vcW waler <br />CTRaU - I <br />San Joaquin Co ty <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 />Temperature <br />w: RUii'i Lirj <br />_____Food Program Official Inspection Report <br />Vfghval '_______ ______________Date: ^/Ydn- <br />^^9 City: r F Zip Code: <br />j Program Record: <br />INo