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Date:y-c <br />Zip Code: <br />Telephone: <br />SB180 Posted <br />c V- A4 <br />j-77 <br />( <br />ckja^r^oVy^ « <br />Item I LocationItem/Location <br />3- <br />.IFood Safety Certification <br />hlorine:Name:Fppm <br />Other:Warewashing Sink:luat. Amm.:Exp. Date:°FFppm <br />Phone: <br />EHD 16-24 (2nd pg) 4/3/13 <br />A- <br />San Joaquin County <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 TX-'Q) <br />A ■ <br />Food Program Official Inspection Report <br />Warewashing <br />Heat: <br />Received By / TitteF^? 7 <br />EH Specialist ) ASk - J <br />Time in: —i • . . <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />-yc \ yvo r, <br />Temperature , <br />VoH-r <br />CP AA <br />Temperature <br />( e AAkJc O <br />io \ \q- 3^25 <br />Time Out Page-^f q <br />FOOD PROGRAM 0IR CONTINUATION <br />Program Element:. A Program Record: <br /> Yes Rermit Posted <br />____________ <br />Facility Hot Water Temperature <br />Hand Sink: op <br />tzx R Co <br />Name of Facility: T- <br />Address: A z <br />__________ <br />Owner/Operator: <br />CX city: <br />y^) <br />SoS2S\ / SISOMO lnspectionType:^oV^ /-n <br /> Yes E I Re-Inspection on or After: