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\ V CA ( < <br />Telephone: <br />Inspection Type: <br />Re-Inspection on or After:Permit PostedSB180 Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />(\ <br />I r~ C J\2<>F <br />Ip U I IOlKaj— <br />.5-2 • <br />TemperatureItem / LocationTemperature <br />( <br />Food Safety Certification <br />Name:°Fppm <br />ither:Quat. Amm.:Warewashing Sink:Exp. Date:F°F PPm <br />1 <br />Time Out: <br />(1- 2_< <br />Received By / Title: <br />EH Specialist: \ <br />Chlorine: <br />San Joaquin Couft' <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 />Warewashing <br />jAeat: <br />A <br />bhone: <br />AQ Q r>-Z <br />Program Record: <br />1^2, A <br />City: <br />Time in: <br />EHD 16-24 (2nd pg) 4/3/13 <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Paget of c? <br />joaVA ' <br />1 FOOD PROGRAM 0IR CONTINUATION <br />\jC c <br />Item/Location <br />3>) \ Ary / \ _ <br />\ '■ J \ V--. - <br />c/< <br />Name of Facility: « <br />Address: \\q-_2 <br />Owner/Operator: Q - <br />Program Element: c <br />Yes No <br />%&&&? <br />3 i IUKW\VoSetoOUd <br />XV~xcv <br />Food Program Official Inspection Report______ <br />TR-t-V 0 °ate: A -1 -1 <br />ZIP Code: <br />(1) Voyr .2 ^ <br />vW-^ 10^1- <br />% rcP FHC Go A-V-c, C vG ~y S <br />Qcgsj _ <br />(S V-orry <br />yXvo on - <br />pVA <jV ~Vxd <br />CZ V - ________________________ <br />CjC )