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OBSERVATIONS AND CORRECTIVE ACTIONS <br />rld&i^o. -3 1 <br />TemperatureItem/Location <br />Food Safety Certification <br />Chlorine:Name:°FPPm <br />Other:Quat. Amm.:Warewashing Sink:Exp. Date:°FCFPPm <br />HEX Phone: <br />Item / Location <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 />===== <br />Temperature <br />(U-lbO^in <br />0 old W)ilW <br />.vMwyT hwmffii <br />Name of Facility: <br />Address: <br />Received By/Title: <br />EH Specialist: pY <br />Time in: <br />Warewashing <br />Heat: <br />EHD 16-24 (2nd pg) 4/3/13 <br />///.Z / _ <br />Yes No <br />Facility Hot Water Temperature <br />Hand Sink: op <br />Vhn i,.K I <br />. Program Record: <br />No Permit Posted <br />Fn <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes <br />Food Program Official Inspection Report <br />1 k Date:51^lAvAU <br />Zip Code: <br />____ ______________Te|ePhone^q^4U-2fc 24 <br />inspection Typeq^g) .J- <br />Re-Inspection on or After: ’ <br />Page^of tT <br />FOOD PROGRAM 0IR CONTINUATION <br />.^-(P 1^-304/^ <br />Timeout: cj Q Q-) <br />O(- <br />4 iUm wWftgh -fa <br />PoU- ■ d /1-mu id . - WYWY i4 fox in