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Zip Code: <br />Telephone:Owner/Operator: <br />Inspection Type:Program Element: <br />Re-Inspection on or After:Permit PostedSB180 Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />( <br />Ci <br />eut <br />Ms <br />Item t Location <br />Chlorine:Name:°Fppm <br />Other:Quat. Amm.:Exp. Date:ft °F°F ppm <br />Received By/Title: <br />Phone:EH Specialist: <br />Pagy of^?Time in: <br />FOOD PROGRAM OIR CONTINUATIONEHD 16-24 (2nd pg) 4/3/13 <br />Warewashing <br />Heat <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 />/A. _ <br />7&3f= <br />- /$ <br />/o&r <br />______________ <br />Yes No <br />/£>g;gr <br />(—fo /u'ig <br />Temperature || <br />/WF_____i <br />I Facility Hot Water Temperature <br />[Hand Sink: op <br />Program flecord: <br />- / <br />/r^Jz-tX jC <br />[Warewashing Sink: <br />_______ <br />_________________A i.-------------- <br />TimeOut: <br />Item/Location <br />________/‘-e. <br />__p*y <br />... .. ..fife*- <br />Food Safety Certification <br />________ Food Program Official Inspection Report <br />Name of Facility: Date: <br />Address: J'? CitV: Zip Code: <br />Yes No <br />■ Temperature <br />'jFP'rWiAte1 lied <br />AJ D cy<»»jg?/gj