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mv <br />City: <br />Telephone:Owner/Operator:1X3 <br />Program Element: <br />SB180 Posted Yes Permit PostedNo <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />i Temperature TemperatureItem / LocationItem/Location <br />Food Safety Certification <br />hlorine:Name:PPm <br />Warewashing Sink:Exp. Date:PPm <br />Received By / Title: <br />Phone:EH Specialist: <br />Time in: <br />FOOD PROGRAM OIR CONTINUATIONEHD 16-24 (2nd pg) 4/3/13 <br />Time Out: <br />^4^ <br />PageXpf <br />Led <br />Other: <br />Name of Facility: <br />Address: <br />Warewashing <br />Heat: <br />°F <br />Inspection Type: <br />Re-Inspection on or After: <br />°F <br />- — <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 />Facility Hot Water Temperature <br />Hand Sink: op <br />Op llQuat. Amm.: <br />Food Program Official Inspection Report <br />Li>d'S» HTTpigTs Date: i-y <br />QCkvjC>\ ,SV_____________ Ci,y: > Zip Code: <br />—chextvk&r CA t, - <br />Program Record: “6 <br />Yes No