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Zip Code: <br />Telephone: <br />SB180 Posted <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br /> <br />yg -A <br /> <br />o r~ <br />Temperature <br /> <br /> <br /> <br />Item / Location <br />Chlorine:°FName:PPm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:°F PPm <br />Received By / Title: <br />Phone:EH Specialist: <br />Time in: <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.sjqov.org/ehd <br />Name of Facility: <br />Address: <br />Warewashing <br />Heat: <br />/•a.5 <br />EHD 16-24 (2«pg) 4/3/13 <br />Food Safety Certification <br />°F <br />vor ___ <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Item/Location <br />([^) C&S. de \ <br />^53- <br />Time Out: & <br /> <br />T'Qd FT s <br /> <br /> <br />Temperature <br />Pa9yLs <br />FOOD PROGRAM 0IR CONTINUATION <br />>Z__S-U ! - <br />‘ o 0 Cx- k- <br />(Xrp l °p (2 ZZ ZxJ HZg- r >Ai^ tz. <br />M-/ <br />Food Program Official Inspection Report______ <br />_______7^57~?k^- / Date: <br />___ L4J ZipCode; ^5^0 4 <br />Owner/OperattFT-^^^^ Telephone: <br />Program Element: f Program Record: Inspection Typery^ <br />Yes No Permit Posted Yes No Re-Inspection on or After: