Laserfiche WebLink
SAN JOAQUIN COUNT <br /> z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax.(209) 464-0138 Web:www.sioov.oro/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: J I- S L p ,eS Date:0 <br /> ddress: s7 sI City: Zip Code: <br /> wner/Operator: r Telephone: <br /> Program Element: 6 / Program Record: o / 6 Inspection Type: <br /> B180 Posted XYes ❑ No Permit Posted X Yes 0 No Re-Inspection on or After: <br /> SBS,p <br /> door fir'd Pf 1-4 G :43°F . ee 4--e ow <br /> a 1 <br /> a[[- oqs - <br /> 0--t d SLA- -4-; cz <br /> Pec/ <br /> Pati—),14—amPcLti-),14-am i=l or u vl d ew ne -14 <br /> aS /J2G[`e 2 ff at4 d aroc-n erne <br /> IvJ r Y J Q -AZX-/- <br /> 8A <br /> �$' - i 2-e-r8AF, - 3— Go , p°F e spm- <br /> o n h ozz — o4- e* <br /> lc CY V, ° <br /> S If `F- �jr' - aCNPA9 11 <br /> LtdfQw -Coder f` PAP <br /> R -f- l° i cooler °F r _ o ler /�o'F <br /> s a d w YD" re 1 o yD'F <br /> Name: /1 _G /1 rl Hand Sink: /�j7 aF hlorine: �O� ppmJ Heat: of <br /> Exp.Date: 0 ,a 1-� arewashing Sink: 3 -F ruat.Amm.: ppm Other: -F <br /> Received By/Title: <br /> EH Specialist: �J Phone: <br /> Time in: G Time Out: Page of <br /> EHD 1624 (2-Pg) 1112JO9 FOOD PROGRAM OR CONTINUATION <br />