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Date: <br />Zip Code: <br />Owner/Operator:Telephone: <br />Program Element:Program Record:Inspection Type:t <br />SB180 Posted Re-Inspection on or After: <br />d. <br />11 <br />^2 <br />Item/Location Temperature Item / Location | Temperature <br />Name:Chlorine:°FPPm <br />Exp. Date:VVarewashing Sink:Quat. Amm.:Other:°F °FPPm <br />EH Specialist: <br />Time in: <br />Warewashing <br />Heat: <br />San Joaquin Count> <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 />f J 77 <br /> Yes I <br />Name of Facility: <br />Address: <br />____________ <br /> Yes Rermit Posted <br />/'oo'F- t <br />Facility Hot Water Temperature <br />Hand Sink: op <br />[aJ Q&hi) <br />==== <br />Food Program Official Inspection Report <br />Date: <br />11 <br />G> <br />'0(4^ <br />Pa^30f4 <br />FOOD PROGRAM 0IR CONTINUATION <br />j^Jg^dL l6C^ <br />£ ^7^ <br />— <br />/6^F <br />(P/'dZj? g cJc^ J <br />'1.' <br />Food Safety Certification <br />s T^tAe /VA.(Lz _ <br />-----^7 <br />,________ <br />Received By / Title: 7J a—ft <br />. H AJ/ v <br />EHD 16-24 (2nd pg) 4/3/13 <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />"TftM. /I j(Zz -7 ________(4^-^ qQf.' r(.____1 <br />— - <br />As^J-- ____r <br />Time Out: