Laserfiche WebLink
aPsa,n. F SAN JOAQUIN COUNT <br /> p� <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sig v.org/ehd <br /> 'ci Fiia� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> =Postedj)jU1Yes <br /> .1 CCJ"fi (U Date: )��I 5 <br /> 5 ( City'_Mcg \ -n Zip Code: ��I S <br /> : Telephone: 7i C)t <br /> U iM f <br /> t: I U Program Record: G/ 12 `f fG Inspection Type:❑Yes ❑ Kermit Posted ❑Yes ❑ I Re-Inspection on or After: 1 <br /> ONS ANt . ECTM5' -= <br /> S <br /> SfiRZW U�_ `f 474 L Nt t-0 <br /> Roci rdf CCA onv2� <br /> Ihil � cA- <br /> K Toe a�- 0 <br /> fa 2A- <br /> 17 'U (CVF Ord CC,"CC-A <br /> j- b -1. M C042,11 1�- CN4 -00I I it 144,S IoU 61 46f <br /> . 0 <br /> c)L}Lo- <br /> v n <br /> =ame 'c'. �1- ) and Sink: UG eF hlorine: ppm eat: of <br /> anrwashing Sink: �f !'. eF uat.Amm.: PPM er: DF <br /> ecalved By I Title: s�V <br /> H Specialist: Phone: _ r_q , <br /> ime in: : ;;5 Time Out: v ., Q U lJV Pagel of <br /> EHD 1(1-24(2n°pg) 4/X1133 FOOD PROGRAM OR CONI INUATION <br />