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lOkar <br />JS <br />¥(ve <br />Item/Location <br />Ce^-rfxipr o C y z 3 <br />FPPm <br />Exp. Date:Warewashing Sink:Other:°Fppm <br />Phone: <br />EHD 16-24 (Z^pg) 4/3/13 <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/ehci <br />Warewashing <br />lHeat: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />-i <br />poZ (^A0f\jLAjV^ <br />Temperature I <br />V: I <br />Temperature <br />) F1 <br />^°i F <br />Chlorine: <br />op Quat. Amm.: <br />Received By / Title: v_A / h A <br />E^Specians..^^^^^ <br />Time in: <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes <br />City: .A\ <br />Page of <br />FOOD PROGRAM 0IR CONTINUATION <br />f F.p v <Q c, V-O-z-A <br />\ cK <br />Food Safety Certification <br />Name: <br />’ci^oas' <br />Time Out: / ' <br />|| Item I Location <br />K sO s t \ Ozj cKap-zjg_____tgr__F Cg5 <br />Wr <br />I Facility Hot Water Temperature <br />Hand Sink: op <br />______ Food Program Official Inspection Report______ <br />Name of Facility;_______________________________(WH?.LjL Date: ~HS~2 | <br />iAddress: CiXxZ>JLg, A<r€- Zip Code; <br />V Telephone: <br />33 / A'S IqH 3>H Inspection Type: <br />Yes No Re-Inspection on or After: <br />/ I WS Pr°grarn Record: <br />hlo Permit Posted <br />x-v <br />P _______ <br />xj \os F