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£ <br />City:V TCA C <br />Telephone: <br />Inspection Type:Program Record:Program Element: <br />Re-Inspection on or After:Permit Posted YesSB180 Posted <br />3-^ <br />ccfi <br />£A <br />3 y <br />c v- <br />Item / LocationItem/Location <br />Name:ppm <br />Other:Warewashing Sink:Quat. Amm.:Exp. Date:FPPm <br />C&JL1 ) <br />Phone: <br />EHD 16-24 (2nopg) 4/3/13 <br />J___ <br />Chlorine: <br />\OC)|- <br />vJ ~ S <br />Page^of^ <br />FOOD PROGRAM OIR CONTINUATION <br />-A (A <br />e.cx- <br />O2_Ar) <br />Warewashing <br />Heat: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Temperature <br />M1F <br />r c e <br />UrO <br />Food Program Official Inspection Report <br />Date: C| | <br />Zip Code: <br />s> <br />No <br />°F <br />°F <br />Temperature <br />~ \\Ae <br />Facility Hot Water Temperature <br />Hand Sink: op <br />UOF_______ <br />cvâ– ICO <br />3<GP.^._______ <br />\cV\ ( <br />WcRS <br />Yes No <br />\ < <br />__ 3 c_ r <br />4^ Qc/V- <br />Name of Facility: <br />Address: \ <br />Owner/Operator: <br />San Joaquin Cou. < <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 />Time in: <br />(G\~z^x_______ <br />Food Safety Certification