Laserfiche WebLink
i <br /> °"'" SAN JOAQUIN COUNTY <br /> .aL <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> s 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . �4.. a�P• Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.orgl <br /> L1�OR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: rolU A le k Date: � _ 14 <br /> ddress: S IL 5 City: .-F— Cr CZip Code: ;7_COwner/Operator: p S G t j G Tr,L r Telephone: <br /> Program Element: 1�1 C) Program Record: 0 0 Y .2 Q Inspection Type: fG n y <br /> 8180 Posted 1 ❑Yes ❑ Rermit Posted ❑Yes ❑I Re-Inspection on or After: <br /> .•.�f`rX....d 1` .-- ✓.. _.�4.�P ,,.. .....::z^f._.e.. n ..>>,,.ee.ma ,,..-mmm.........».... .. .. .Y.e.n:i:t <br /> U f n E - Ptnrchr4 v Gtr; r I. ... <br /> the roe C' WCA Wh., I cror � � S hu d. <br /> S' 1Ie Uti ; 4 rcqC LA)a.5 oq(/j are, <br /> J`� I rYY} ercl 4 LrrP S g )—e a C; 1'' 1• P t i UI 3 <br /> Sh; yrPn1 lw; C2 Q U-) f 1 JEQ Ci � iitr Sp I/i Gl DIAD 1-2 <br /> P. Q _�� �j �r liUlGr►n rara Jc) r 4Ci <br /> I' 0 10en e <br /> h, <br /> 4 <br /> 1 <br /> l q 11C ; rn 3 1? - <br /> Name: Hand Sink: of Chlorine: ppm Heat: 'F <br /> Exp.Date: arewashing Sink: "F Quat.Amm.- ppm Other: 'F <br /> Received By 1 Title: 6 <br /> EH Specialist '•-� Phane: l/ fi <br /> ime in: y Time Out G f7 J Page of <br /> EHD 16-24 (214 pg) 413113 FOOD PROGRAM OR CONTINUATION <br /> J <br />