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Iw: <br />Ci,y: 5/W/^Zip Code: <br />Telephone: <br />Program Element: <br />Re-Inspection on or After:Permit Posted YesSB180 Posted <br /> <br /> <br /> <br /> <br />(54.,/ ---/L <br /> rz^^Li-o^ <br />R^kcl' cZ-b'f/ wL <br />Temperature <br /> <br /> <br /> <br /> <br />Item / LocationTemperature <br /> <br /> <br /> <br /> <br />Item/Location <br />Food Safety Certification <br />Chlorine:°FName:ppm <br />Other:Quat. Amm.:Exp. Date:°F PPm <br />Phone: <br />Time Out:Time in: <br />EHD 16-24 (2^ pg) 4/3/13 <br />P5O2L//2^ <br />No <br />San Joaquin Coun <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 />Name of Facility: <br />Address: <br />Warewashing <br />|Heat: <br />3 <br />-4=1- <br />Warewashing Sink: <br />/ /) /, <br />°F <br />Zc') m^>1 c< p_A • <br />Program Record: £> <br />Facility Hot Water Temperature <br />Hand Sink: op <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br /> <br /> r--------- <br />/6 <br />Yes No <br />- Ffxi <br /> Vv y'l f xk< <br />H- y <br /> <br />A /o—( o-o — l o t £L <br />- /JC P----- '■ <br />—-144---------fc?/< .- <br />Food Program Official Inspection Report <br />, Dale: <br />43i s Clly: zipCode: ^z/ s- <br />Owner/Operator: A r. Telephone: <br />Inspection Type: / <br /> <br /> <br />------------------—- <br />pCT^/ys- hi#_______ <br />20? 4b 3 4448______ <br />_________________Page42. <br />FOOD PROGRAM OIR CONTINUATION <br />Received By / Title: <br />EH Specialist: Xy *