Laserfiche WebLink
qa�'h SAN ,JOAQUIN COUNTY <br /> ,a. ...o <br /> a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> . ... P Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.siaoy.org/ehd' <br /> �6 <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 77771a c t Date: 7 - 19-11 <br /> Address: I 1� it city: �^-i~r C' C Zip Code: s <br /> Owner/Operator: 1 Telephone: 2_3 Z <br /> Program Element: Program Record: Inspection Type: /"O t'2? A <br /> 5B180 Posted ❑Yes ❑ No Permit Posted ❑Yes ❑ No Re-Inspection on or Atter: C <br /> OBSERVATIDiVSND#C©RR VE4AC14NS <br /> r v1 }" G 4 P � :n r G e; h S O & i Ci P1U <br /> r <br /> S VaC LA.) c. >�P r rrn Jos Y r <br /> dell <br /> '6 r u 1 tr c% <br /> I <br /> It;&Eoc <br /> =La ons Temperafu�e; JtemJLocation el�a ratiir ' ftem!'IocaUori T mpera#vr ; <br /> Food SafetyylCertl#ica#toni~acal�ty� of"Wa#er"xTlrn ;:-store 1iVarewastiir.Il <br /> Name: Hand Sink: eFChlorine: PPM Heat: 'F <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: PPM Other: .F <br /> Received By/Title: <br /> EH Specialist: i7} Phone: <br /> Time in: i i"10 <br /> Time Out: Page of <br /> [ I <br /> EHD 16-24 (2r,°pg) 1112109 FOOD PROGRAM OIR CONTINUATION <br /> I <br />