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Warewashing <br />PPm Heat: Chlorine: <br />Temperature Item/Location Temperature Item / Location <br />Food Safety Certification Facility Hot Water Temperature <br />Hand Sink: °F Name: <br />Exp. Date: Warewashing Sin Quat. Amm.: PPm Other: ee. <br />Time Out: Out: i rR 0 Page of <br />FOOD PROGRAM OIR CONTINUATION <br />Received By / Title: <br />EH Specialist: <br />Time in: <br />EHD 16-24 (2,1 pg) 4/3/13 <br />Phone: Lk, <br />q 0 <br />SAN JOAQUIN COUN <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: ci a ,...p A Li Yik (1) v & T.;:csasbcDate: I, (/ 2._ • <br />Address: ..5---L. 0 City: Zip Code: LC 671 t Owner/Operator: Telephone: 3 z9-..e).4._ <br />Program Element: / C3 3 Program Record: b 3 41-9 (1 I Inspection Type: fp...0 t44:ets2. <br />SB180 Posted Yesermit Posted [Yes DI Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />C <br />aeoctS-1-9_ corn MrkakS iA ho-e <br /> <br />3.F- 6 - —tektc-ciA_ 0 vct— o-E-- -Cc- -Urou-(--'6 .) <br /> <br />.1/, 0 /4 ninilDsLet rA ecuq <br />Om /A • sQr b cA.1 <br />ro C 7-4-1A-f) et- re 6 <br />Q_ at 6 yyr