Laserfiche WebLink
SAN JOAQUIN COUN' <br /> Z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> oq.,Fop��P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: e n C ii f _5 Date: 1 - 16 -) 3 <br /> Address: U) j$ / Cay: . ; < zip Code: 9 S 3 ?t <br /> Owner/Operator: e I13 /0( h Telephone: <br /> Program Element: I!. G i�f Program Record: , ' act � S Inspection Type: �i n <br /> B180 Posted ."�Yes � No Permit Posted ❑Yes ❑ No Re-Inspection on or After: <br /> ; I JJ h n )(4ce ,� cf Y7ehiJ b JvJte <br /> WUIK -;r Gn `•1 00 606; 6/e 0 r, C- IC O 00n ;n41 <br /> fru v : Oe !1,00d 0142 rk V e1, un Cw.c/s <br /> WefK - <br /> S I C, i Wol Ic -ir\ 1 ( e ✓e pn 64 <br /> qF /1 P ` s 4 Cc, rreL WeeK <br /> CfP111 U6 htnr ih doi 'x pis L Q / <br /> C f be vi <br /> (o ��l DU <br /> a 4? ( nl, 1 Crn i-e .Es ho ve <br /> J. <br /> Cw. 40 co A IC ; 01' S S /u (� C �1.1 ; n / <br /> ; ^ luLeRC � ;n W ' OCI w/ � +� •I hr �irSl irW <br /> V30 t q Cal As. <br /> ame: land Sink: UC],I, .F hlorine: PPM Pont <br /> of <br /> Exp.Date: Narewashing Sink: 10V 'F Met.Amm.: PPM ther: 'F <br /> Received By/Title: <br /> H Specialist: Phone: /_ `•j/6 <br /> ime in: '.2 S 2 Time Out: {7 0 Page of , <br /> EHD1E24 (2i°pg) 4IW12 FOOD PROGRAM OIR CONTINUATION <br />