Laserfiche WebLink
Q�a+4th.• SAN JOAQUIN COUNTY <br /> w ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fox:(209)464-0138 Web:WWW.siaov.org1ehd <br /> AW�j 210 311/e - <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: q City: j Zip Code: <br /> Owner/Operator: 1 q Telephone <br /> Program Element: Program R d: Inspection Type: <br /> SB180 Posted Yes ❑ No Permit Posted -Yes No Re-Inspection on or After: <br /> D CO <br /> WOO 214 Cl - M a a i <br /> f f A Aw�%' R- lfkv. <br /> .tf4iJa UQJ e <br /> tiK/kl�3 � <br /> i W'ar <br /> t k ..a lorow ; <br /> C Vic: Awd <br /> aA;4 ot✓c <br /> Ite .Temperature '' Item/Location Temperature it, /Location Temperature <br /> F Faclity,Hot Water Temperature Warewashing <br /> Name: Hand Sink: `F hlorine: ppm Heat: "F <br /> Exp. Date: arewashing Sink: "F lo <br /> uat.AMM.: Ppm Other: 'F <br /> Received By/Title: <br /> EH Speclelist: Phone: <br /> me In: Time Out: Page of <br /> EHD16-24 (2-pg) 1112/09 FOOD PROGRAM OIR CONTINUATION <br />