Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> (Do V <br /> ENVIRONMENTAL HEALTH DEPARTMENT � [P <br /> a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ` u��. 1 e 1 1� Date: _I <br /> Address: ,\ ` .�! i \ City: Zip Code: 5 -�•J <br /> Owner/Operator: Telephone: <br /> Program Element: `\012— Program Record: t Inspection Type: <br /> 6180 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑I Re-inspection on or After: <br /> E}NS AND CORRECTIVE A . IONS <br /> - <br /> o <br /> z c t bocj.'�eA 5 a. So C C t <br /> Z -rte — lc� <br /> a <br /> �. ` 11 <br /> rame and Sink: of hlorine: ppm eat: of <br /> arewashing Sink: of uat, mm.: ppm Other: of <br /> Received By/Title:J , _-\ y 77 <br /> .f <br /> H Specialist: Phone: <br /> Time in: Q Time Out: ' PageZf <br /> EHD 16-24 (2ntl pg) 4!3/13 FOOD PROGRAM OIR CONTINUATION <br />