Laserfiche WebLink
g41'" SAN JOAQUIN COUNTY <br /> 0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209} 468-3420 Fax: (209) 464-0138 Web:www.ssjgov.orglehd <br /> �IxpR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ! �'Date: 9 �p <br /> Address: F� ' City: `�` Zip Code: sZ0�f <br /> Owner/Operator: C A Fe W A �� �e-� � - e-& Telephone: �G <br /> Program Element: to �� FIrogram Record: 3b Inspection Type:am <br /> 1SB18G Posted ❑Yes ❑ No Permit Posted ❑Yes ❑ No Re-Inspection on or After: <br /> 4 <br /> A+ 9 P •v► baa/ �o � !� C of s.� p��-�kc� <br /> -- rte <br /> s. r u e rssk, MSC - C� V1 .5 4- <br /> Co CC IRLAA t lzl <br /> ! <br /> -Seue <br /> Pte-� � - �• <br /> Name. Hand Sink: of chlorine: ppm Heat: aF <br /> Exp.Date: arewashing Sink: of Quat.Amm,: ppm ther: of <br /> Received By 1 Title: <br /> EH Specialist: Phone: <br /> Time in://" G Time Out:fes. Page of <br /> EHD 16-24 [211 pg]'1112109 FOOD PROGRAM OIR CONTINUATION <br />