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\OUV. <br />\ 4°^ 'WF <br />o-y rwrto <br />HO-UOF. Myj&frf<>af <br />M.Mfrat <br />5 <br />TemperatureItem / LocationTemperatureItem/Location <br />stnpS <br />Chlorine: <br />Quat. Amm.: <br />Name: <br />Exp. Date: <br />°F <br />°F <br />y~p^v(Gig. cttiopwje <br />San Joaquin Cour <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 />fob? C5T <br />Name of Facility: <br />Address: <br />Owner/Operator: <br />Program Element: <br />SB180 Posted <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Warewashing Sink: op <br />GV - <br />______________ <br /> Yes Permit Posted <br />vest <br />Food Safety Certification i <br />Phone: O-QQ - fa ■ g4 4 Ifo ~ <br />TimeOut: Page^f^ <br />FOOD PROGRAM OIR CONTINUATION <br />Warewashing <br />ppm |Heat: <br />ppm |lother: <br />r^r ca\\ Vocrths <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />- ye ore gtyred <br />TZAxc^irU VW. SW-C -toryjle vap. <br />________ <br />w cvF Wgv. FcAjuSt -U <br />~~ GY1_______________________ <br />Cfo) C-£/v' cfoC : < <br />- tWb qv fardwosH <br />- Oh____________________ <br />(ft) P'-xy^ / (foPb. <br />~ tier vo4e4 for Kirdv^Sn <br />q)foCfo: <br />-Oh <br />@ tNChladQb /Naotos _ <br />’ jrot Ct tofofooftb Ofcfoa-1 ' S <br />\OC5T-___________________________________ <br />TzmtoS ■-_______________________ <br />Food Program Official Inspection Report______ <br />P. nnve>' \fosf\vq I Date: H/24/1G <br />v<. forfo st City: zip code: ge,20.? <br />&> ftcPcgrg parish eburfor___________Teleph°'ie:___________ <br />Program Record: p g. Inspection Type: <br />□ Yes □ I Re-Inspection on or After: --------------- <br />Received By / <br />EHD 16-24 (2"°pg) 4/3/13