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(=D — <br />Temperature TemperatureItem / LocationItem/Location <br />Food Safety Certification <br />F <br />Phone: <br />Time Out: <br /><fXl <br />M.U N/ Q-Z- <br />OS <b> 1 7~ <br />,/^i l <br />QKl- <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.sjqov.org/ehd <br />Name of Facility: <br />Address: <br />Name: <br />Exp. Date: <br />Chlorine: <br />Quat. Amm.: <br />P/2o£ <br />Warewashing <br />Heat: <br />Other: <br />PPm <br />PPm <br />^'3 <br />FOOD PROGRAM 0IR CONTINUATION <br />fk 1>3 C — <br />Facility Hot Water Temperature <br />Hand Sink: °p <br />Warewashing Sink: op <br />°F <br />PfcQSl 50 <br />Yes No ‘ Re-lnso <br />© <br />Food Program Official Inspection Report <br />Date: <br />C'ty: Tkfity zlp Gode: <br />Owner/Operator: Telephone: <br />Program Element: i^ ^^^^Program Record: | lnspecti°n Type^ f <br />SB180 Posted Yes No Permit Posted Yes No ‘ Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />N^iJO pAlAlkj I <br />o /z-An ^-■ <br />Kfli <br />5 ANb <O pl <br />C’a An „ <br />Pf'O — o X _______________ <br />-41 o \ i 7 Kl P/^-onp^cer <br />pf<r>. 'rt-- rnaj 6(yu).ih , — arv r)~/ 5 <br />______ <br />bFi^ pfi vm A- 5 —- r <br />/ hJ R&OVF G c>i. <br />Received By/Title: <br />EH Specialist: <br />Time in: / O <br />EHD 16-24 (2^ pg) 4/3/13