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UA.City: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />-U <br /><5 <br />C I - <br />cff <br /><-\V~-\rQ -Vo I IO H <br />ff*c <br />Item / Location <br />Or ; - <br />H rn_^ <br />-s <br />Name:iChlorine: <br />Exp. Date:uat. Amm.:°F ppm <br />Phone: <br />Time Out: <br />EHD 16-24 (2^ pg) 4/3/13 <br />CK_<. t —\ <br />-£<y d__Sos <br />\SOF <br />CU? t Or, <br />_ <br />Vj <br />30 ? y.-- <br />'A^F <br />V>O UA-Q <br />\'2_ <br />k—-— <br />-X.X <br />Inspection Type: -x. <br />Re-Inspection on or After: <br />Warewashing <br />Heat: <br />\3 <br />Temperature <br />\ I ’> F <br />e-jj <br />°F <br />°F <br />M bs 0 3 K3 <br />A \ P <br />^O-\Va <br />rfm <br />V-XsF <br />Opyj ^yv-x <br />Page of . <br />FOOD PROGRAM OIR CONTINUATION <br />; No ~ <br />San Joaquin Coll / <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 />Temperature <br />\~w <br />floF 163 <br />Facility Hot Water Temperature <br />Hand Sink: Op <br />Warewashing Sink: <br />T\ <br />.IS vy ~r <br />c -d ' J <br />Food Safety Certification <br />Received By / Title: jVlU/M'l 5 <br />EH Specialist: \ 1 kJ 27 <br /> (T’y^x-z eV <br />Time in: —t <br />Program Record: <br />Permit Posted Yes <br />iCKv\\\o?v\ <br />ObS. aVs c- V-xL <br />Food Program Official Inspection Report_____ <br />■■ V ■■XTr>_____________________________________D°te: e,Zi— ^<0 <br />Telephone: <br />Name of Facility: <br />Address: XA uF -v <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes No <br />__ __________ <br />F7 <br />Item/Location <br />ppm <br />Other: