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fe f <br /> oP�'A I" SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> .,•r ,.•;� Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.s14ov.or4lehd <br /> i«anti' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of f=acility: Date: o <br /> ddress: 2I n a � � City: Zip Code:q5 � j c <br /> Owner/Operator: �V ' T¢l hone: r <br /> c <br /> Program Element: 1 Program Record: !f 03 Inspection LL180Typen <br /> posted Yes 0 No Permit Posted es E No Re-Inspection on or After: <br /> .l✓W lY G-'f ' y W.1 <br /> %n1L7 d�'i. �ybV"�� .+ „ 4 1.�--. <br /> 411,13 KaNNOW!, ". Aft. z M. ..b..lr.- Ra,......au� .. a- <br /> D � r <br /> Geer . /k® <br /> L' � yea -��-a�.c� , .ems✓�e.�x .�1. D�° '� <br /> beldr- <br /> r� <br /> i <br /> :g ,p:a _•.�I...... � AM, �x�,t .w�- vc.• � r e�;., ',w_y, .::,�3)y, j,:,: �-- r.� -o?' <br /> i..a �.�� ta"�r•_�''�`s� r�-r..#a .�"��537� :';}� sR4i: y� "" .�y/` �5� � l a„ l y' �y� +idt ��(j �a f �� <br /> s CMR:3 ' Ctt ' r. k °yvs� Et U€7i,.;Tl, s^ a J41a _5 d #�af1«fly <br /> Name: Hand Sink: 7 Chlorine: ppm Heat: "F <br /> Exp.Date: Warewashing Sink: 'F Quat.Amm.: PPM other: of <br /> Received By 1 Title,.4 7 <br /> EH Specialist: Phon . <br /> Time in: r �n� Time ut: Page of <br /> EH 1&23(2^"pg) 01/29109 cd� FT' FOOD PROGRAM OIR CONTINUATION <br />