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av1" SAN JOAQUIN COUNrf' <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.ora/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: _ _ v <br /> dress: �3c� oo City: Zip Code: 1-y� <br /> caner/Operator. C',.Q17 t-i 6o),1A Telephone: <br /> Program Element: l Program Record: P 0/-2 g Inspection Type: �1, <br /> 8180 Posted Yes ❑ No Permit Posted Yes ❑NO Re-Inspection on or After: <br /> AYI -b <br /> ui-A--Le_ CIO rr <br /> :EL <br /> ° <br /> pe: <br /> 'r ° Ke/� /D�t C-tLZ <br /> Hand Sink: of hlorine: ppm eat: .F <br /> NarewaVj= <br /> /U =F uat.Am m.: ppm her: of <br /> Received By/Title: // <br /> H Specialist: / 1 Phone: <br /> me in: N/Vit�f Time Out: ✓O / O Page)of i <br /> Cv <br /> EHO 16-24(2a pg) 1=9 FOOD PROGRAM OR CONTINUATION <br />