Laserfiche WebLink
SAN JOAQUIN COUNT,.,( <br /> r' ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • r.., ;a• Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.si ov.org/ehd <br /> gcik'd'A�' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> ame of Facility: 2 ; L P m JM Date' - S- I <br /> ddress: City: �\ zip Code: <br /> �U 22 6 �� <br /> wnerlOperator: Telephone:�U \n �� Oho -Q 4$b- ,4'1 <br /> rogram Element: Program Record: 59- 0 o—1 2 OB"I <br /> Inspection Type: C <br /> B180 Posted —[]Yes 0 Kermit Posted Dyes ❑I Re-Inspection on or Ager: <br /> r <br /> 2 7 ` 9�r1 <br /> 7 <br /> .- <br /> 1 <br /> J C csz d. A <br /> Foy S <br /> em Pei <br /> si t2pF <br /> .� R.'2 . t2 <br /> "Facility Hot Water Tempera <br /> ame: and Sink: "F Norma: PPM eat: 'F <br /> Exp.Date: ashing Sink: Z\ 'F uat.Amm.: PPM er: 'F <br /> eceived By I Title: <br /> H Specialist: - Phone: C,,\b _(JSSO <br /> ime in: Time Out: t Ot.2 Page tof f <br /> EHD 16-24(2"pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />