Laserfiche WebLink
a�gJAI <br /> ?y SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> • d„Y. <,.;P• Telephone: (209)468-3420 Fax; (209)464-0138 Web:www.si-gov.org/ehd <br /> �rFaT+M <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ( M/gKT -W(� Date: q_ ,_/p <br /> Address: r lt;� I 7'WS7- City: T-R1P)_9c7 Zip Code: 9 S 3 <br /> Owner/Operator: S VF yn 2r- Sc4PERM4/zK .3 Telephone: /GCK� <br /> Program Element: rt4� Program Record: 3 18 Inspection Type: <br /> 6180 Posted .Yes ❑ No Permit Posted Yes 1i No Re-inspection on or After: <br /> "'41 <br /> a 1._ <br /> +�",', a�+ V 771 # .xy s '` 's�u�"✓'x,�5,„ ,agi• ?�ar'T s�;.�t+disai }i' <br /> s .,�. k;.. <br /> d6WPA*fMr 5?_*Mj` dC'A1,*"1A/7-19N7- <br /> Jr't�RLiff/�S�A lam' ti� .� �9�3raur Twa �K-KS <br /> / O eV� r/rS rN !UT I Ee M /L.4 r �� Nr3 f]Q_ $LeS�G'7icQ 7~y1gT /T419S 77yk' <br /> t{h�4 7—tf4Tr C64-5C-� 141,1v&55, Rrhe g& 34-5-r-'3 17�rC Cvq 5 T ` e <br /> 42(lt t6 7%}97 e"-, cu s �-r Frd2c ►9Nh 5gti, A5-57` �3 uL"XrC-5- (3A, <br /> i!f'!3T 1D APRl>, ! 2aK:�, /pl;, t) <br /> 5tx U(,5(-r /10*01S G 13oz 9Du*tA±4 D$rC-0 I }CRU 1400 3WAjVL> <br /> !� �c <br /> it Srw1rl Q 15-M14 )1)o fit f 4rAR'I/' zo/0 <br /> er rt �t Af Au nerd A'1 pu r 1 ;?P9'(?_ 2evrC> 'e <br /> Rf- <br /> r <br /> T- 150 (to l.l. CM06 !,u &.W SSR '(40<k2 7'r� j docil- RcrwwF4 <br /> PG RIL10. <br /> ROUT'") Cir Or, CALF �r�r�s eon A�-� r'3r9�y a1s tiv RFnrcu r p>�sr sTa 8 r <br /> TNr5 r Tr <br /> MIW <br /> f <br /> FkLA�S f 'F5.1' O t w9r11 a 43 eL 0. bf u $l4lig4 s r 'a , <br /> F_w.. .iia x <br /> Name: Hand Sink: `F Chlorine: ppm Heat: PF <br /> Exp.Date: Warewashing Sink: 'F Quat.Amm.: ppm Other: `F <br /> Received By I Title: CAS !i1 s <br /> EH Specialist: f7 Phone: 116O 1 <br /> Time in: I�.s.� Time Out: / Q Page of <br /> l cc , uu <br /> EHD 16-23(2"d pg) 07129!09 FOCD PROGRAM OIR CONTINUATION <br />