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Program Element:Program Record: <br />SB180 Posted Permit Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Temperature IItem/Location Item / Location Temperature <br />Food Safety Certification <br />Name:Chlorine:FPPm <br />Exp. Date:Quat. Amm.:Warewashing Sink:Other:PPm <br />EH Specialist: <br />Time in: <br />FOOD PROGRAM OIR CONTINUATION <br />-oV- <br />Warewashing <br />Heat: <br />°F °F <br />Page <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Received By / Title: <br />EHD 16-24 (2nd pg) 4/3/13 <br />_____Food Program Official Inspection Report_______ <br />tdw______________________________Pate: tPP/13- <br />7-------i-----------I r.itw r- uJ Zip Code: <br />~ Telephone: <br />Inspection Type:^^^ <br />Re-Inspection on or After: <br />San Joaquin Co ty <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 />0 VTAaa h C u <br />Ci,y: stoci’-t/jH <br />Name of Facility: < <br />fldd±s: TSI CUFdCHul “ <br />Owner/Operator: OWTCinvtU <br />) loA^ Program Record: <br />Yes No Permit Posted Yes No <br />- TkC vs r\ov on qtyA -the & <br />~\S> m frWvls Yym cm Vzaz cooAvq. <br />- ?- cAr (i rA- folT- TO F- <br />-OV-_______________________________________________________ <br />Phone: _ <br />Time Out: <br />IMS?.