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Clty: <br />Telephone: <br />Program Element: <br />Re-Inspection on or After:NoSB180 Posted Yes <br />yfoUdfpM* Qt- 4Ws_■J\L> <br />~ (00 <br />Item/Location <br />Z)m <br />Chlorine:°F <br />Quat. Amm.:Warewashing Sink:°FExp. Date:°F ppm <br />Received By/Title: <br />Phone:EH Specialist: <br />Page ofTime in: <br />FOOD PROGRAM OIR CONTINUATION <br />______iAce. <br />C)i-> 'xvw_ <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />_____ <br />a <br />g- <br />San Joaquin CoiHy <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 />__•pfiT <br />-Q-------Em IW <br />CttAM <br />[''DO <br />EHD 16-24 (2nd pg) 4/3/13 <br />Name of Facility: f.-.,, <br />Address: lLC£l <br />Owner/Operator: <br />Temperature <br />ICQ^ <br />tuc^gH- <br />Name: <br />______________ <br />Kn'Y.'p <br />glfcZ- <br />l- <br />l/lo Irtfrlm <br />Food Program Official Inspection Report <br />Date: <br />Zip Code: <br />CcWtz <) <br />- Mrf <br />- j °C'/ry Tg/yv-) C4q gj pA^y <br />r~~t\----r0----------- <br />) VTmaY <br />Inspection Type: <br />La. Chr*1^____-U* fe* <br />Timeout: <br />u---------------- <br />to <br />$ Mm ftwpZ <br />________2___ _____ <br />- 0^^___ <br />divwLVi <br />Warewashing <br />ppm H17 <br />jother: <br />J <br />J Program Record: Pp-ffiTjCA <br />Permit Posted Yes No <br />TiT) Tto (JVi'twh y ' <br />,/vU^ <br />F Temperature |[ Item / Location <br />_ . icv v _ (jv) <br />__IQb 'C jty Q^jc^ <br />__t <br />Facility Hot Water Temperature <br />Hand Sink: op