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SB180 Posted <br />Item / Location TemperatureTemperatureItem/Location <br />Food Safety Certification <br />:hlorine:Name:°F <br />Other:luat. Amm.:'arewashing Sink:Exp. Date:°F°F ppm <br />Phone: <br />Page of LTime Out:Time in: <br />FOOD PROGRAM OIR CONTINUATION <br />7? w <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 />Facility Hot Water Temperature <br />Hand Sink: <br />(jc 14>^’ri <br />Warewashing <br />ppm <br />- 3/) /I/} <br />_35 <br />l Z—^-ctyo/7—- i A >> <br />_______ <br />Name of Facility: <br />Address: ^2 <br />Owner/Operator: ' _■ <br />Program Element: ' <br />Yes No <br />7~ Program Record: <br />Permit Posted Yes No <br />Food Program Official Inspection Report <br />~\i" :S//y/272^ <br />C"»: Speed., y5'^22<g' <br />Telephone: <br />Inspection Type: ZZs^z” <br />Re-Inspection on or After: <br />Zc <br />M i <br />I <br />"s/U/'C. <br />34 Z c -y 3 S r? (jl- <br />'3>Z<z ___ <br />pw A YM t>c pXJ Zz/U. <br />r°z/ ok <br />OBSERVATIONS AND CORRECTIVE ACTIQNS <br />. la j <t <br />[o<~z/zs i <br />’/op Zr 'P i ri <br />17^Z/ Z-^-4— <br />(^Z~?Z~p < /<\px2k£. /k~ZyA? -Lpz <br />Received By/Title: p . £^/1A £M/Zo <br />EH Sp.cl.llst: ■ y ^.Zza- Y^ZAVLStx <br />WsV4/Vi — <br />EHD 16-24 (2"dpg) 4/3/13