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City: <br />Permit PostedNoSB180 Posted Yes <br />- /c j <br />/'TXxvY <50" <br />TemperatureItem / LocationItem/Location <br />Name:°F <br />Warewashing Sink:Exp. Date:°Fppm <br />Phone:EH Specialist: <br />Page ofTime in: <br />^vx/\ <br />FOOD PROGRAM OIR CONTINUATION <br />Inspection Type: <br />Re-Inspection on or After: <br />(to CF <br />San Joaquin ColWy <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/ehcl <br />.aiA <br />t/'S C<: <br />jjl *|WiS'fc£. e__ <br />Time Out: LJ r fQ <br />1'7, I <br />------- <br />Yes No <br />5^7^ <br />aZv <br />1___ <br />Received By/Title: i <br />UoU <br />EHD 16-24 (2nd pg) 4/3/13 <br />ihlorine: <br />ep Quat. Amm.: <br />//Heike/ <br />e'E- <br />Temperature <br />X‘T- _ <br />/ I^Z Cflt-QT.yin .Ljl>C- d'bJ-iVl^w/^ <br />^T- <br />- 4/T <br />SVnTA'.V <br />_____TYVo foty^zy^ <br />___cWK - 1" - <br />V) l~C>K— <br />Vvtv6t 7 <br />V- Oir <br />-Uma <br />________fanl vV^^H. g <br />_ <br />(rU <br />______—(\L <br />___________Uz{'cVe-l, <br />^TTT(/vy^. Wsu<~4.>v. , <br />_y <br />CVoekjye.. i'T-, k _______ <br />‘ )FV-C Ot/|gzv <br />- F®fkt& 4tU€5 <br />Food Program Official Inspection Report <br />IX, •<■ \ -i i Date:y^S^avucy-S <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />•f^-c <br />W co -a <br />L../V^/ S OvK^e^kZ <br />Sflyti-hT-t-vA-j_____j. ___k <br />----- <br />ua4 t <br />£ <br />__~T\rV'<''___ <br />Food Safety Certification <br />M/z/ jq <br />Z»C°J* <br />Telephone: <br />dx ^Og»A>-v^ <br />Warewashing <br />'ppmpat: <br />[Other: <br />yj A'/kAv} <br />Facility Hot Water Temperature <br />Hand Sink: »p <br />S^n7<h.f^ej LX <br />— i*4(| he, <br />_____Sriw <br />______\ to M <br />__________ _ _____Ck>.'WH-A. <br />Name of Facility: <br />addr“*: Uy|>~fc <br />Owner/Operator: <br />Program Element: <br />'ybuctyi^_ <br />____dvguZ*____IwC,. <br />. ’ Program Record: