Laserfiche WebLink
I <br /> . I <br /> I <br /> ofiq!u" SAN JOAQUIN COUNTY <br /> :i ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.siaov.orglehd <br /> L7ppR� <br /> i <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C e EtofeDate: <br /> Address: I G L!n City: s �.�� Zip.Code: 9 <br /> Owner/Operator: 771 b . 3:�" -( N q 55 :G r1 Telephone 9t13 - 30S <br /> Program Element: Program Record: Inspection Type: S` 'le <br /> SB180 Posted ❑Yes ❑ No Permit Posted ❑Yes ❑ No Re-Inspection on or After: <br /> Gc ; I 4- <br /> n C" k <br /> -GC" k s k S' io � G <br /> D b 544 <br /> � <br /> /6S r c <br /> Cse 0 jl y3 <br /> C <br /> I <br /> i <br /> ® m ra <br /> Name: Hand Sink: of Ghlorine: ppm Heat: F <br /> o i <br /> Exp.Date: Warewashing Sink: OF uat.Amm.: ppm ther: OF <br /> i <br /> Received By 1 Title: <br /> EH Specialist: Phone: r- 21 of Q <br /> Time in: -.S Z Time Out: Pagepf <br /> EHD 16-24 (2n'pg) 1112109 FOOD PROGRAM OR CONTINUATION <br />