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City: <br />Owner/Operator: <br />SB 180 Posted <br />V <br />TemperatureItem / LocationTemperatureItem/Location <br />Food Safety Certification <br />hlorine:°FName: <br />luat Amm.:°F'arewashing Sink:°F ppmExp. Date: <br />Phone: <br />Time Out:Time in: <br />EHD 16-24 (2nd pg) 4/3/13 <br />/0<s <br />San Joaquin Coun i » <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 />Warewashing <br />Iheat: <br />Facility Hot Water Temperature <br />Hand Sink: <br />Name of Facility: j jV Q t A T A j L^. > <br />Address: | ' <br />CQ'O Nl C il <br />Program Element: | <br />Yes No <br />Food Program Official Inspection Report <br />_________ F | p S' <br />A/, 5T City:<?TO<S <br />,. FOR Sf AN i SH SPB A VC I <br />Program Record: rK 0506/1P, <br />Permit Posted Yes No <br />TAx Date: £5 I — <br />^70A/ZipC0de: <br />N Telephone: <br />Inspection Type: -y |s^ p <br />Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Coy <br />c i n <br />.rw * <br />Page] of<J <br />FOOD PROGRAM 0IR CONTINUATION <br />Received By / Title: <br />EHSpecTalist: Q b| A M j FCO <br />ppm <br />Other: