Laserfiche WebLink
SAN JOAQUIN CWPY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �4�iFeii p Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ✓ Date; / 77 D <br /> ddress: City: [�„ ._l� L7� Zip Code: <br /> Owner/Operator: cge �" cG1 Telephone:97-1 . 3,2 <br /> 1-7 <br /> Program Element: Program Record: Inspection J 7 <br /> �91 <br /> tic <br /> Bt 80 Posted ❑Yes ❑ No Permit Posted ❑Yes ❑ Reanspection on or After: <br /> C kh I pnske (k <br /> r ryl <br /> v l 4- J a <br /> 0 <br /> M L q OVIS <br /> � vblfcns <br /> n <br /> r Ll /l-1 ref /J <br /> Kkl7a 120<7r 6 <br /> G.0A i <br /> J C r/ 6(6 W Q yellG'l <br /> 'I 11 vv <br /> Name: land Sink: 'F hlorine: ppmeat: .F <br /> Exp.Date: arewashing Sink: "F uat.Amm.: ppm her: .F <br /> Received By/Title: <br /> H Specialist: Phone: --C <br /> Time in: Time Out: Page of <br /> EHD 1624(2-pg) 1112109 FOOD PROGRAM OR CONTINUATION <br />