Laserfiche WebLink
o�a�ll" SAN JOAQUIN COUNTY <br /> p ' + ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www,s'qov.org/ehd <br /> LrFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: m�� — 1 64 9 Date: .-2-3 --09 <br /> Address: <br /> qmtl-140 <br /> ity: j Zip Code- <br /> R:5 <br /> Owner/Operator: / Telephone: <br /> Program Element: Program Record: i0 Ins ect' n T pe: <br /> SB180 Posted 0 Yes 0 No Permit Posted []Yes ❑ No Re-Inspection ono After: <br /> w 08SERVATJION$,; ►ND ©1R1CIVE gCJr10NS ., .� � YRO <br /> d <br /> rvht d :t nd <br /> L IL L14 <br /> �dv. <br /> w:�a 1� - �y �y <br /> e r_ �,. ` ��7�+9rpetraturs. *� .� s'r.F � O .'.v,; mak- edtLlrQa hlYICC �fl]<1� 5�.;a "�8f11�16T8t[]rB.: <br /> r � Vr,'�2 -.. -.. .- w. �...;. � ..,� .aF�.• -E` {��F�Rf�a��+,��.�r��f lh ?r'��"��'','� fk�m�+'To'-Siie-ir�' T- fi.,��+w�•I Hn•,���s rv�.,.�, 9•x.,� ,�;..f, 1 .. <br /> Name: Hand Sink: aFChlorine:ry ppm Heat: F <br /> 0 <br /> Exp.Date: Marewashing Sink: 'F uat.Amm.: ppm her: 'F <br /> [eceived By 1 Title, <br /> Specialist: /VIA kA<2 L Phone: <br /> me in: Time Out: Page of <br /> EHD 16-23(2nd pg) 11/06108 FOOD OR CONTINUATION <br />