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< <br />Program Element:Program Record: <br />SB180 Posted <br />I/ <br />j TemperatureTemperatureItem 1 LocationItem/Location <br />Food Safety Certification <br />Name:Chlorine:Heat:°F <br />Other:Warewashing Sink:Quat. Amm.:Exp. Date:°F°F PPm <br />Received By I Title: <br />EH Specialist: <br />7 Page ofTime in:Time Out: <br />EHD 16-24 (2M pg) 4/3/13 <br />■? <br />Warewashing <br />ppm <br />San Joaquin Counts <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 />Owner/Operator: <br />__________ <br /> Yes Rermit Posted Yes I <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Telephone: <br />Inspection Type: <br />Re-Inspection on or After: ( <br />^7^3 <br />IA/^Phone: ^^-033 <br />FOOD PROGRAM OIR CONTINUATION <br />A-er £~3 f <br />j acp <br />CLjC. L? /ooV <br />13^-TiV izo,e <br />» rfl" <br />C - ■ - <br />Food Program Official Inspection Report <br />g ^I/L Date: '7 /' "A 6 <br />AvVyOPk; ZipCode: <br />?-roTup <br />L V 7Z' <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> <br />p,J -C6> <br /> • , Ajo <br />crA | F <br />I Z> l)QWK^