Laserfiche WebLink
SAN JOAQUIN COUr4Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.siaov.org/ehd <br /> 4�IFORN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: f- fe-, Date: 2'1,,,1'-7T",'1 <br /> kk.=.- / / City: Zip Code: <br /> Address: 2 7, - t�-w—C . 1PA- <br /> Owner/Operator: .st•— Telephone: 7 .".O <br /> Program Element: YLl7 i� Program Record: s' , vv Inspection Type: /L)� <br /> SB180 Poste Yes Nov— Permit Posted'�j Yes - No Re-Inspection on or After: <br /> OBSEf&TIONSAND CORRECTIVE ACTIONS <br /> ( ( L j,, v1,L,&,-L,Y,-I`-T- <br /> K <br /> t C t1 <br /> (ALA 041% <br /> YY1a W L ��1 Liv • � .� �� :n — <br /> crl1(v {Vll IIS _ 2,, - = <br /> l ' IAIt tit WAVK-C(/- <br /> ' <br /> 1/v l ki — 7Y=vl l� <br /> If-au IsIer VV 3 <br /> ame: �t ���tiU� and Sink: D�' ^F hlorine: ppm eat: ^F <br /> Exp.Date: �I� �"1 arewashing Sink: 1" -F uat.Amm.: ppm then. =F <br /> Received By/Title:w 1 <br /> / 1 <br /> EH Specialist: Phone: <br /> 11 <br /> ime in: Time Out: Page4b <br /> r C <br /> EHD 16-24 (2-pg) 11009 FOOD PROGRAM 017CONTINUATION <br />