Laserfiche WebLink
SAN JOAQUIN COUN <br /> Z 'ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �/F01r� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> ddress: City Zip Code: �-, _ <br /> wner/Operator: Telepho • O <br /> Program Element: 5. Program Record: �7Inspection Type: <br /> B180 Posted es f No Permit Posted s No Re-Inspection on or Aker: <br /> NATIONS AND Gt?I�REG7IY�ACTIQIS <br /> r .. <br /> r / ini <br /> l <br /> Ec ��rP _<:3v <br /> 6 <br /> Facility Hot Water Temperature :,„ <br /> ams: Hand Sink: -FChlorine Ppm Heat: of <br /> xp.Date: a��//o.-�0�7 arewashing Sink: / -F Ouat. Amin r PPM Other: -F <br /> eceived By/Title: <br /> [' <br /> H specie <br /> ime in: �j- Time Out: Page/o� <br /> EHD 1&24 (2-Pg) 4/3113 FOOD PROGRAM OR CONTINUATION <br />