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Owner/Operator:Telephone: <br />Program Element: <br />SB180 Posted Yes Permit Posted <br />/ "r <br />L <br />'{J c\Xe4 TT^r <br />Q)Ja <br />I Temperature TemperatureItem / LocationItem/Location <br />Food Safety Certification <br />Chlorine:Name:°Fppm <br />Other:Exp. Date:°Fppm <br />sReceived By / Title:£ <br />EH Specialist: <br />Time in:( (T 50 <br />EHD 16-24 (2">Jpg) 4/3/13 <br />Q) Pa m <br />San Joaquin CoiOy <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 />Inspection Type: <br />Re-Inspection on or After: <br />Warewashing <br />Heat: <br />A - <br />Page J of <br />FOOD PROGRAM 0IR CONTINUATION <br />Q Ti- m&cI <br />I <br />-____ <br />■ <U <br />ill'll No <br />' -5) /(VP-WT <br />iff <br />(c) Sv ax <br />Facility Hot Water Temperature <br />Hand Sink: op <br />JWarewashing Sink: |Quat- Amm.: <br />Yes No <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />/f) _____ _______________ <br />[4ea1~ <br />AXr <br />. * <br />_L____ <br />^<^£04^) — <br />.2 <br />Phone: 0^4 <br />Time Out: <br />Food Program Official Inspection Report <br />Date: <br />Program Reobrd: <br />(ix ~T7. <br />-—.c O --------77-----------------~r <br />!. V/is<gjTW< .A X'iQup cur-g <br />flM/z TNL/veJf- /At. (. <br />[y^ pw- cc Cg . <br />Py C' <br />A-vyt pg