Laserfiche WebLink
a° N SAN JOAQUIN COUP <br /> Q' ?a ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: S <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c... a Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.siaov.orD/ehd <br /> tGIFOA� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Date: z - Z- ( <br /> Name of Facility: S <br /> ddress: 2\ � 0 C4 City: Zip Code: Ct S L�(10 <br /> wner/Operator: Telephone: <br /> Program Element: 1l.. `s Program Record: ` dD3-2-5 Inspection Type: <br /> 8180 Posted 7 Yes ❑ No Permit Posted Yes No Re-Inspection on or After: <br /> 1111111''11111,1113 1A()j::jj::Ij:P <br /> �T 2 <br /> CAR <br /> \25 <br /> Tempest <br /> Facility Hot Water Temperature <br /> ante: Hand Sink: 'F (Chlorine: PPM eat: "F <br /> Exp.Date: arewashing Sink: -F Ouat. Arnim.: ppm then: "F <br /> Received By/Title: <br /> H Specialist: _ - Phone: "` lin 3 <br /> ime in: \© .y Time Out: _ Page of <br /> EHO 1624 (2n°pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />