Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> = 600 East Main Street, Stockton, CA 95202-3029 <br /> a�.,. ,...; Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> C/Pd P� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> FNameof Facility: SMAX &w 5'Z41 Date: lb-q-m <br /> s: /8 y-0 ST City: Zip Code: 9�7?4/Operator:: I nw�u I��V�Q� O Telephone: 7%6/ <br /> m Element: 1��3 Program Record: 1p� �r Inspection Type: <br /> Posted Ves C No Permit Posted )KYes ❑ No l Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS, .�,. <br /> Q) rA06e W,'-Lh TtcRA*b 4n& wO-ff tAt6&SfL5 INStAd-r A36-5?M'86 *-W, R Actu <br /> 1..,.nE Di � u T � rlvs 1�'l �oRtiEca� <br /> 1�3Tn� y Nva sus r ee2n s F IsaE 7�r CQvtr256 5 <br /> -to MA)br M 9b 7-m rS MEaj2- =►n <br /> 04WK C! Sib 6N 77;4 /.GCR r fS 6'rAW~,FD',vr*t <br /> leewipSr91v1 r 5 mo l00 M UI AE exin lippol <br /> IN 3 Q&»f sry o[ 0 I cirlue- / Wl.+fa P r RAISED rQ .Zoo <br /> lk"fneDr E UI E Vf MC Se9furTf 2 r Q <br /> I►{ (lN R R6t TraU ou oti a-ll-ld . <br /> t5fltAd,kk'KiLii. <br /> m/Location <br /> 2 D <br /> ork <br /> Name: land Sink: •F hlorine: ppm eat: •F <br /> Exp.Date: f^Z„ Z_�n arewashing Sink: 2 •F Quat.Amm.: �(� ppm Cher: •F <br /> eceived By 1 Title: x J <br /> H 14 <br /> Specialist: no: ,JI 7 <br /> !me in: �:.v Time Out: 1:915 <br /> Page�of <br /> EHO 1624(2-pg) 11/2109 FOOD PROGRAM OIR CONTINUATION <br />