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w: R <br />Telephone: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />v <br />v J i ■o .-'\3 <; <br />; 3 i <br />(3?>F <br />I <br />k>o <br />mF <br />Food Safety <br />Name:ppm <br />Other:Warewashing Sink:Quat. Amm.:Exp. Date:°F ppm <br />Received By / Title: <br />Phone: <br />z, <br />4 <br />San Joaquin Coun <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 />Inspection Type: <br />Re-Inspection on or After: <br />S_C \-Vs <br />Program Record: <br />Permit Posted <br />Warewashing <br />Heat: <br />Page^o^ ■> <br />FOOD PROGRAM OIR CONTINUATION <br />\ky\s <br />No <br />Temperature Temperature <br />54 r <br />°F <br />°FChlorine: <br />S\S SF s <br />Yes No <br />F~ F -Vj r \ <br />Facility Hot Water Temperature <br />Hand Sink: <br />O^F - <br />Qt->\cz^x <br />t k, / A: <br />- GV J <br />Program Element: <br />SB180 Posted Yes <br />Time Out: <br />Item / Location____________ <br />. 'b<zrL <br />2, <br /><2^ <br />■■ <br />^OvU FPA F <br />Item/Location <br />po A ~V < <br />EHspecia'ist> 3^GXzLC-g <br />Time in: <br />EHD 16-24 (2nd pg) 4/3/13 <br />_____________Food Program Official Inspection Report______ <br />Name of Facility: V > C^~C\ lYV-^ Date: 4 ~ S>O'-jg <br />Address: PrJV-R— ^Code: Ol <3 <br />Owner/Operator: 2 <br />—o c v--q^-z^_ r~ <br />i/Oc<.£Jk - MC>F <br />o \2 i r_________ <br />fie