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-V"’ <br />Zip Code:City:_ <br />Telephone: <br />Inspection Type:-V1J>1 <br />Re-Inspection on or After:NoPermit Posted YesNoSB180 Posted Yes <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />r -( <br />1 <br />\ \ <br />T <br />KT <br />I i <br />J >- <br />V <br />(T\- <br />TemperatureItem / LocationTemperatureItem/Location <br />Food Safety Certification <br />Chlorine:Name:Tppm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:FFppm <br />Received By / Title: <br />Phone:EH Specialist:■T C) <br />Page ofTime Out:Time in: <br />FOOD PROGRAM OIR CONTINUATIONEHD 16-24 (2™ pg) 4/3/13 <br />Name of Facility: <br />Address: <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 <br />Warewashing <br />Heat: <br />Q. < <br />Food Program Official Inspection Report <br />Date: <br />Program Record: <br />________A. 'S \ \ <br />Owner/Operator: <br />Vt\ vjc\ <br />|| Facility Hot Water Temperature <br />Hand Sink: op <br />or. <br />\ r, • <br />Qc\- <br />J <br />12 • 5 3, ^ <br />C ' <br />Program Element: