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Item/Location <br />k r <br />C c&I-crksa) <br />Temperature <br />-E- <br />1 <br />Item I Location <br />Facility Hot Water Temperature <br />Hand Sink: \ o F Chlorine: <br />Warewashing Sink: Quat. Amm.: <br />A ) <br />Name: <br />Exp. Date: <br />sst-Q--?-or <br />t Certi i Warewashing <br />PPm Heat: <br />Other: <br />°F <br />PPm <br />Received By / Title: <br />EH Specialist: Phone: <br />Time Out: S I S Pages of <br />11'.1 FOOD PROGRAM OIR CONTINUATION <br />ime in: <br />cosia33Q, <br />END 16-24 (2,4 pg) 4/3/13 <br />Temperatu <br />SAN JOAQUIN COLA . - <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siciov.orq/ehd <br /> <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: ' <br />\C--.€ *k-e__ ( t r\ Date: A 2 _ I - C4 .-\ \----:k <br />Address: \T -9_, E..._ , —To ( n .er \-2_46, City: <br />-) <br />Zip Code: GA e__, •..1, C) <br />Owner/Operator: Telephone: i.‘ 0) <br /> .,(A 1\ \, j <br />Program Element: kko..3 ) Program ecord: LA k 2„--1 ci Inspection Type: <br />, <br />SB180 Posted 7 Yes 0 Hermit Posted 7 Yes E I Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />"•-;\(_-‘<c\s--e-V I <br />002 (3-c0 PC\2y-Nc, <br /> <br />-0,QQ <br />" <br />Qo d-,-\.,\•-‘ 1-Le <br />