Laserfiche WebLink
SAN JOAQUIN COU4y <br /> a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> at..,. �Y.. Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sogov.org/ehd <br /> 41Fd'A <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: (�-� -- ULe ro c h o o I Date: -/ <br /> ddress: S `i 3 c: W oo_3 ua city: S Zip code: ZG4 <br /> wner/Operator: Telephone: ,)3 4-G <br /> Program Element: Program Record: Inspection Type:�2 <br /> B180 Posted G Yes No Permit Posted ❑Yes [) No Re-Inspection on or After: <br /> d V p U s',j <br /> dochn0 <br /> I rau 5 I 'coo I F 7-1-0 U150, 0 ( aur) /I r er � 3� <br /> 1Jor- C, 2C rvl:IK y5 G <br /> ame: 1 Hand Sink: y IF hlorine: PPM eat: ,F <br /> Exp.Date: �l Aarrashing Sink: 2 `Frust.Amm.: PPM Cher: of <br /> - Y- <br /> Received By/Title: <br /> EH Specialist: - Phone: / � -')7 <br /> ime in: U Time Out: G Pageof <br /> EHD 1624(2-Pg) 4,W12 FOOD PROGRAM OIR CONTINUATION <br />