Laserfiche WebLink
°P441!N, S SAN JOAQUIN COUNTY <br /> b n <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 /> 4d6Ar` <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> [Nameof Facility: Lr Date:dress: Oe ` City: G.1_ Gr-ft n Zip Code:ner/Operator. _ J �JI v Telephone:gram Element: Program Record: n2 bif to C) Inspection Type: <br /> 180 Posted -Yes ❑ No Permit Posted Yes No Re-Inspection on or Alter: <br /> RVATIONS AND CORRECTIVE ACTIONS <br /> va /Zetrr>,errrrkrS n acuvtae r-P. - ca44a4 <br /> /'.. !-Teropera6ue Item l location Temperahse <br /> ✓ e / <br /> flet VMaear Tempetapgs <br /> Name: Hand Sink: F hlorine: PPM at: 'F <br /> a _ -- - ' _ _ O�i o -l-ei l60 <br /> Exp.Date: - arew shin Sink: x,37 'F t m.: �.`_ppm her: 'F <br /> Received By I Title: <br /> EH Specialist: Ph° <br /> -tel I <br /> Mme In: Time Out: ` .� Paged y <br /> EHD 1&23(210 pp) 070I00 FOOD PROGRAM OR CONTINUATION <br />