Laserfiche WebLink
SAN JOAQUIN COUN' <br /> . <br /> Q` ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> [rodW <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: �/ 6P City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: /� �v y9a� Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> u <br /> ,C <br /> Food Safety Certification Facility Hot Water Te <br /> ercaon m <br /> itac _._ __- — <br /> Name: 'Mand Sink: aF hlorine: m `F <br /> Exp.Date: arewashing Sink j�Q -7 'F ruat.Amm.: PPM their: -F <br /> Received By/Title: �f <br /> EH Specialist: Phon <br /> Time in: • O 7 Time Out cr/ Pa of <br /> EHD 1624 (2n°Dg) 4/3(13 FOOD PROGRAM OIR CONTINUATION <br />