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Food Program Official Inspection Report <br />Date:Sop... <br />C'ty: V-a Zip Code: <br />Owner/Operator:Telephone: <br />Program Record:Inspection Type: <br />SB180 Posted Permit Posted Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />C' <br />V~\-\OQ>-V |— <br />^3^5 <br />er <br />Item/Location Temperature Item / Location Temperature <br />Food Safety Certification <br />Name:(Chlorine:°FPPm <br />uat. Amm.:Exp. Date:Other:°F °FPPm <br />Time in:Time Out: <br />EHD 16-24 (2M pg) 4/3/13 <br />Received By / Title: <br />EH Specialist: i <br />San Joaquin Coul ; <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 />Name of Facility: <br />Address: <br />Warewashing <br />Heat: <br /><' /A <2 <br />u, ffhAncr DiYecti^ <br />______________ <br />Program Element: <br />Yes No <br />FOOD PROGRAM 0IR CONTINUATION <br />Facility Hot Water Temperature <br />“iHand Sink: ..p <br />IWarewashing Sink: <br />(Tv‘.Vv; 'S -v <br />S2-B '2-<8^ <br />Yes No <br />—c-V