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2 2- <br />Telephone: <br />SB180 Posted <br />ft <br />2J- <br />bx/ <rvi <br />7.^ 2 2 <br />f\o <> 1 <br />,rmX • <br />TemperatureItem / LocationItem/Location _ <br />Food Safety Certification <br />Heat:Chlorine:Name:°F <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:°F°F ppm <br />Received By/Title: <br />Phone:EH Specialist: <br />Time Out:Time in: <br />EHD 16-24 (2nd pg) 4/3/13 <br />San Joaquin CourM <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 />r ’ <br />Warewashing <br />ppm <br />__-___C-F/45ut/ h^S <br />—I *-1 C- <br />Facility Hot Water Temperature <br />Hand Sink: op <br /><, i <br />- /// - 30 <br />.. , , Page of\ i A-M.___________t <br />FOOD PROGRAM 0IR CONTINUATION <br />___ <br />( )---- <br />qcTrd <br />2}^.-.— <br />_________ Food Program Official Inspection Report <br />Name of Facility: /A (7~ Date: //-Z~ <br />Address: ^^3^. <br />Owner/Operator: y Telephone: .7 ZJ 2.3 <br />Program Element: program Reddrd: gspection Type: I <br />Yes No l *" Permit Posted Yes INo ' Re-Inspection on or After: ’ <br />OBSERVATIONS AND CORRECTIVE ACTIONS | r~ <br />MU^GlAA 5 <br />3 C^sy^r) <; -^4 y i >t I'lh^ <br />__■» (pYl^ (c»c2 4-1—-^ry-e/ /4s <br />_____‘Z T^ I _L <br />2 7 t/ co rLrf^ <br />2x1 <br />— HS 1^22