Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> �+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • .: - ;P• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.si oq v or /q ehd <br /> 9L�FO i <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: �_l—to _ j Lf <br /> ddress: 1 4 ;t H1 _ r LA n a City ���rp Zip Code: �© <br /> Owner/Operator: ` '-Tn_ f .0 F Telephone: <br /> Program Element: I b3Program Record: A IQ 0 � <br /> •5b(4g 1 Inspection Type�d�w6ne_ <br /> S6180 Posted yes ❑ No Permit Posted els ❑ No Re-inspection on or After: <br /> OB�ERV,4TIOM1IS AND CORRECTIVE�ACTIONS . <br /> 4- Lu n -e C e t' tr 4,-7 <br /> b i <br /> l to r <br /> 4k ze.r CrF <br /> rName: Hand Sink: 5 of Chlorine: ppm Heat: of <br /> Warewashing Sink: of t.Appm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: 4� CS Time Out: C O Page of 40- <br /> EHD 16-24 (2ntl pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />