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No <br />4 <br />- <br />"ra^ <br />>O <br />@ PoWt? iki4»4v CXUM'Vffe'Z (rCA^/ <br />Uvifr’foWs 'F-'t^ObsevVcJ-i^ci <br />p^n’ZZ&jC/ <br />(rthbsa &Ml <br />Temperature Item / Location <br />_ <br />ihlorine:Name:°F <br />Exp. Date:°Fppm <br />Phone: <br />Page ofTime Out:W <br />FOOD PROGRAM OIR CONTINUATION <br />i, <br />C <br />u <br />XL. <br />San Joaquin Cou._.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.siqov.orq/ehd <br />Yes No <br />"I TTj <br />_.ogrAm Record: <br />Permit Posted <br />^VF <br /><Xn(Ti~:&rvtci <br />(r4 T '-T- <br />Temperature <br />(o/ 7^ <br />f^-i "r" <br />^7^- <br />tAA4<, <br />(-0. <br />A-s <br />CAewv* <br />Warewashing Sink: <br />(Tex/ <br />VdliAVtxfcwjll <br />Si <br />Food Program Official Inspection Report <br />Date: <br />Zip Code: <br />Telephone: <br />Inspection Type: <br />Re-Inspection on or After: <br />Warewashing <br />ppm lHeatr <br />jother: <br />10\AVa <br />___jf&up <br />ProgrAn <br />pyey? Cec/ltyr^ <br />.•xx <br />J! <br />CiAv -flT <br />"JqL Iks <br />Received By / Title: <br />EH Specialist: /X <br />Time in: Ft 70 <br />EHD 16-24 (2«dpg) 4/3/13 <br />______r'lU vawa <br />Name of Facility: Cj. <br />Address: <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes <br />________^^44/ <br />(- GV ■■(-,££ <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />-/X . --- <br />u , UK- • <br />~cvu< <br />C/m qA <br />1 fL < CvwA’A i, <br />A'h j - AE - ST> <br />C",: <br />/TtVylr. <br />lA/v^tx vkuXIw.*, ^-3/ <br /> Db5p-./^ <br />k) 5 ~ Cq*a.p k— ~ <br />klz- Ly- cco'lt^ <br />gy HP/- £yeze^- Oyy^ <br />I Facility Hot Water Temperature || ____________) <br />[Hand Sink: op <br />op llQuat. Amm.: <br />Item/Location <br />@ ?- t/yj f~ <br />' CcytAV ^yv\ ~ <br />5>kxTvy\ L-gVA' <br />Food Safety Certification