Laserfiche WebLink
aap4 cPc `. SAN JOAQUIN COUN", <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c6�IFev N p Telephone: (209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> E <br /> : h; - Date: <br /> l Y f,\ ' n City: r _ Zip Code: yS3 � 1' <br /> : W Telephone: <br /> nt: I`.Z), Program Record: /- � Inspection Type:1�Yes No Permit Posted ❑Yes -. No Re-Inspection on or After: <br /> No V.d Ip i ons <br /> S44 ! ; Ler. UO J <br /> ;(tperature _. Item/Location Tem <br /> : 5,04 <br /> Warewashing j <br /> ame: r ,Sic Mr S and Sink: �UU� "F r <br /> hlorine: ppm Heat: `F <br /> Exp.Date: S'- <br /> Il_/7- arewashing Sink: �21J 'F r <br /> uat.Amm.: Ppm ther: "F <br /> Received By/Title: . e '� <br /> EH Specialist: Phone: /!S- <br /> ime in: o Time Out: a Page?ofd <br /> EHD 16-24 (2°Pg) 4/9/12 FOOD PROGRAM DIP CONTINUATION <br />