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I <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />? <br />l&S <br />V <br />Phone: <br />Time Out: <br />A <br />^ollo- 3OZ_S <br />V ' Vn <br />I Temperature <br />2x30 £)-____vkoiucr <br />Received By/Title: <br />EH Specialist:^— <br />Time in: <br />Name: <br />Exp. Date: <br />hlorine: <br />luat. Amm.: <br />Warewashing <br />ppm <br />ppm <br />Heat: <br />Other: <br />\ <br />°F <br />°F <br />(V.t <br />EHD 16-24 (2nd pg) 4/3/13 <br />Temperature <br />mr____ <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Warewashing Sink: op <br />Yes No <br />Program Element: \qC| <br />SB180 Posted Yes No <br />Name of Facility: <br />Address: y Vhe> <br />Owner/Operator: S'-' <br />Program Record: <br />Permit Posted <br />Page^ of <br />FOOD PROGRAM OIR CONTINUATION <br />2-J <br />l-k<)WO ___ ____ __ <br />~~V 6*^ CA___/ <br />( CA-W\ <Ag Jk VV? I <br />z2<k O feO v <br />(CacWx VA^\^ / <br />I \7 OX TT i li ca y <br /> J" -k ____________ <br />Sr^-rJl^ <br />CXcxXX C ~ 0.0,0 <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/ehd <br />Food Program Official Inspection Report <br />X' ZlpC°de: GsBBQ <br />I Tel°phoneti2s ! <br />Inspection Type: r < <br />Re-Inspection on or After: <br />Item / Location <br />XT .' CAcz—Q C-V