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OBSERVATIONS AND CORRECTIVE ACTIONS <br /> <br />/t-45 <br /> 73 ••7_>4 ca?-- (7f)----c7. <br />7•E <br /> <br />Name of Facility: <br />Address: <br />Owner/Operator: <br />Program Element: Program Record: <br />SB180 Posted Yes No Permit Posted Yes No <br />Date: <br />Zip Code: <br />Telephone: <br />Inspection Type: <br />Re-Inspection on or After:0 / <br />City: <br />(DXc29,- c-,P=7 7<-67,-7 <br />V••-•/-S_-207 / CV7I 72/0 eyz <br /> <br />,Z7/,/,f7 <br />SAN JOAQUIN COW\ <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazeiton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sov.orgiehd <br /> <br /> <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />,6act;/ 76 <br />Cbe,r1 , - <br />224 -?-x • <br />._7442Ccze • <br />c/-7 (4,4 <br />Item/Location Temperature <br />• <br />em /Location Temperature <br />vTD <br />Food Safety Certification Warewashing Facility Hot WateraTemperature <br />TIP <br />Name: <br />Exp. Date: <br />Hand Sink: `F <br />Warewashing Sink: <br />°F <br />Chlorine: <br />P P m <br />Quat. Amm.: <br />PPm <br />Heat: <br />°F <br />Other: <br />°F <br />AA/1,Y Received By / <br />EH Spe alist: <br />Time in: <br />11111h11% ` <br />,i0e0A, "V Phone: <br />Time Out: 9 . Pag&of,..Q <br />ERG 16-24 (2,0 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION