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Telephone: <br />Permit Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />io) <br />a_.Ap <br />str~rGv>\ <br />Item / Location <br />-I Chlorine:Name:ppm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:F PPm <br />Received By / Title: <br />Phone:EH Specialist: <br />Time in: <br />Inspection Type: <br />Re-Inspection on or After: <br />Warewashing <br />Heat: <br />Name of Facility: V <br />Address: <br />EHD 16-24 (2™ pg) 4/3/13 <br />Temperature <br />mF <br />°F <br />°F <br />Program Element: <br />SB180 Posted Yes No <br />Item/Location <br />F cVjvkArx Cl-VU) <br />Xi.- Zl <br />Food Safety Certrfication <br />^^^'03.30__________Timeout ~ <br />FOOD PROGRAM OIR CONTINUATION <br />Temperature <br />ISOF <br />YTIF <br />38 F <br />S F F <br />Facility Hot Water Temperature <br />Hand Sink: °F <br />San Joaquin Cot y <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.orQ/ehd <br />__________________ <br />---- y Zip Code: <br /><O ) o <br />V3oF <br />Program Record: «=^ <br />Yes No <br />Food Program Official Inspection Report_______ <br />? \ \(O-ss o Vqv\ p VAa 4 Co Date: ~ 3 QXV-. C <br />Owner/Operator: ZJ I