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Program Element:Program Record:Inspection Typer <br />SB180 Posted Permit Posted Re-Inspection on or After: <br />c <br />Temperature <br />Food Safety Certification <br />Name:ppm <br />Exp. Date:°Fppm <br />Phone: <br />Page? of J—- ■ <br />FOOD PROGRAM OIR CONTINUATIONEHD 16-24 (2'«pg) 4/3/13 <br />EH Specialist: <br />Time in: <br />San Joaquin County <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 />Received By / Title:w <br />(5) ULU&AQ <br />Item/Location <br />Warewashing <br />iHeat: <br />KJther: <br />I <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Warewashing Sink: <br />°F <br />Zi p C ode: (' <br />T^ephone^^, <br />r . OBSERVATIONS AND C <br />_________ <br />C^TOpprfl _____ <br />20^-1/11 <br />Time Out: <br />MaaD.2zO Kfo <br />oWW-— <br />Item / Location iTemperature <br />A-- & <br />pRR^CTIVE ACTIONS <br />CX- ieexyZn 0 <br />rtrHODp <br />CHWffB— <br />Chlorine: <br />op Quat. Amm.: <br />Name of Facility:, <br />Address: ^3x1 <br />Owner/Operator: <br />Food Program Official Inspection Report <br />StlXKTON VvAkvto-i- ^TliWh Mfr <br />] N. Rntr.-K'tor O <br />Yes No Yes No