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,/J <br />j~>j A t VjL <br />Item/Location ■ <br />Food Safety Certification <br />Heat:Chlorine:Name:°F <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:°F°F ppm <br />Received By / Title: <br />EH Specialist: <br />Page ofTime Out:Time in: <br />EHD 16-24 (2"a pg) 4/3/13 <br />No <br />I b^>4- <br />San Joaquin County <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 />Temperature <br />7^? ___________ <br />f^c L A U <br />Warewashing <br />PPm <br />PTa-iaIt1. <br />Name of Facility: <br />Address: <br />Date: <br />Zip Code: <br />5~ 3 3 Z? <br />C£>S>(W^\ <br />Vp sidj’ ) /?/? — ! C>7> <br />Iw /s7_ <br />Jf7C’ <br />’7 < (prefl <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes <br />Food Program Official Inspection Report <br />M AZ / Date- °] <br />--t- Clty: <br />W <br />pi y«i.s,~f <br />><xL ^HT. IP- <br />I-_____________,: i y~ <br />Facility Hot Water Temperature <br />Hand Sink: op <br />-----5 <r <br />O <br />. <2^________________ <br />— /T t p i. —I DO <br />C^>c> / t fa&t tn.— <br />\ ... <br />* <br />Temperature <br />Program Record: <br />Permit Posted Yes <br />p~ o/^____ <br />-IJ o----- <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />A L| I zi.>- /rz2"2 p27 <br />3 c znli'vvk ___—- <br />f <br />-Y.Z.X <br />tepjdr f\>vT rz. <br />X S X^ cJ •{- <br />Telephone: <br />P K 0^70 2 S~ 7- ,S Inspection Type: <br />No Re-Inspection on or After: <br />TEsVvnio (LhoiAX <br />PB°n,; ' . 4// ?o?A~2 <br />FOOD PROGRAM 0IR CONTINUATION