Laserfiche WebLink
Qeaeln. - SAN JOAQUIN COUNTY <br /> 1 �a AG <br /> a: ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.si4ov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: lJ Date: )-) _/S _ <br /> ddress: I t U 1 h city: — zip code: <br /> Owner/Operator: Telephone: Jb <br /> Program Element: Program Record: inspection Type: 2 h 1�ne <br /> B180 Posted Ves No Permit Posted Yes No Re-Inspection on or After: <br /> IONS AND CORRE 'W' ACTIONS <br /> S <br /> C4 0' c1<S � U m uaI <br /> I �� 1 ra Anol rn :ss : n uno�er <br /> ce Ma CIN. mt- a : les i I n <br /> r <br /> I r M ; n rt <br /> e p r: i n n 1 <br /> U( - ld-N i n r �1 u /' a b. f� Clee to <br /> OFC �. /rl VG 4 Pro I 01 CYO SS Tic.+'I <br /> be I : 1 ((�� <br /> y 11 %/ hol for c4I►C'i n . e /ore <br /> 1 n <br /> 1: a Yyl oj d ; s 1 Iso <br /> io se In A 1 ; I d.'Sh ,,JGSh Tea /6o F <br /> Fr a V'; de 4kareov babel Or deuice had 3hOW5 YYlott:Munj <br /> 4 e rn1wre . r. r r ej �- iMriled:al <br /> y 2 - duce oharF� c4r/Yle! Ha VQ r, Ken <br /> r tl hhrr TAS K a 15 . n Wee .__-- - <br /> 4P.14 seol e v s c;'5 k N L,e 4 Cc Ver' 44�' - <br /> Q re Ole r'd: Ar, i A f0r, 11 ; ece ; f <br /> rs d v q -per <br /> .s l ' 2 56Mn , IS <br /> 2-door - 'SA I yl 1 Cc,Y_ " 3 74r Wol 6K 3/ I= <br /> I dav, - s- 1-3 y l r p:s I4 pe,: uo- t/ rF wq ►K - 0e1; yv f <br /> Sqn wJ Gh oj:sylj4jj3f 2-doer - Wbcr, r yr F W0, r /N <br /> ame: Y o ( r G nd Sink: I Oa jl. •F hlorine: ppm /s U `F <br /> Exp.Date: y,/ arewashing Sink /3 0 ^F uat Amm.: 2 0 G ppm of <br /> Received By/Title: rUm <br /> H Specialist: Phone: 6 0-. <br /> me in: cr Time Out: 'a / Page of <br /> EHD16-24 (2-pg) 1112/09 FOOD PROGRAM OR CONTINUATION <br />