Laserfiche WebLink
SAN JOAQUIN COUNT <br /> z ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ' C9[%FOP�`p• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.s6goy.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> ame of Facility: /l Date: �s <br /> ddress: City: Zip Code: <br /> wner/Operator: ✓ � Telephone: <br /> rogram Element: � Program Reco . .. !_ Inspection Type: <br /> B188 Posted 11 Remit Posted Yes ❑1 Re-Inspection on or After: <br /> d <br /> . ' <br /> —rcvr A44A 27 <br /> O�PiuS-n vn l2- <br /> _W <br /> IF W yet to i'v <br /> NWAI, .w, qF <br /> �vuc24 !�f <br /> A Yt' <br /> ame: and Sink: q "F hlorine: ppm eat: 'F <br /> xp.Date: 1� arewashing Sink: of uat.Amm.: ppm er: DF <br /> eceived By I Till 1 6� <br /> H Specialist: I Phone: <br /> ime in: / Time Out: PagE1 of <br /> EHD 16-24(2"pg) 413/13 FOOD PROGRAM ORCONTINUATION <br />