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FOOD PROGRAM OIR CONTINUATION EHD 16-24 (2nd pg) 4/3/13 <br />.\(\\&c) <br />Phone: <br />Time Out: \- Page <br />Received By / Title: <br />Time in: <br />Temperature Item/Location <br />Warewashing <br />Heat: Name: <br />Facility Hot Water Temperature <br />Hand Sink: °F <br />tern ()cation. ,— Temperature <br />Chlorine: PPm <br />Exp. Date: Warewashing Sink: F Quat. Amm.: ppm Other: °F <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.siclov.orgiehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: Ma -k-i- ne.-3 pv- c(UCe tV- -4 P 1) L ' ,(„) Date: IA ty 1 fa <br />Address: <br />1-1- i 4 -1--v City:ty...)clutcyn Zip Code: 0,92 ()(• <br />Owner/Operator: R m ya ar-tit) e-- 3 Telephone: 9 .... .5Ci A 4036 <br />Program Element: i (0 3(40 Program Record: i sz 653€ 2._ (0, Inspection Type: ...42iirl5rec.,i--1 on <br />SB180 Posted 0 Yes 0 Rermit Posted 0 Yes [It Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />M kotalloPs cuclveoer) <br />cY 1- s cv-e F --c;\