Laserfiche WebLink
SAN JOAQUIN COUK ' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.siaov.orD/ehd <br /> C/Fdp � <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: / Date: a <br /> Address: 114/1 City: r Zip Code: <br /> wner/Operator: ? / Telephone: <br /> Program Element: �� Program Record: Inspection Type: <br /> 8180 Posted ❑Yes _ No Permit Posted []Yes ❑ No Re-Inspection on or After: <br /> F — <br /> 7 nf� <br /> � c � <br /> 4 <br /> Food Safety Certification Facility Hot Water.T ure` Warewashing <br /> Name: 1` Hand Sink: �d� <F Chlorin Q/ // Heat -F <br /> Exp.Date: �^ / / �� Warewashing Sink O =F Ouat. Amm.: PPM Other: of <br /> Received By/Title: <br /> EH Spec' ist: Phone: <br /> line in: Time Out: Pag of <br /> EHD 1 (2n°Pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />