Laserfiche WebLink
q;°...."'" SAN JOAQUIN COUNTY <br /> o . .. c <br /> � � .oc <br /> a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •. — ;P Telephone. (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 74 U R �t / r/ i i +'U h`t Date: 10 L Y - <br /> ddress: '' S r city: T ru i Zip Code: q !J ;7P G <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: 904 <br /> S818O Posted ❑Yes ❑ No Permit Posted ❑Yes ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AN®CO' RECTIVE ACTe IONS <br /> �c,�� Is are W<<> a ��; u 4 /s C'e <br /> Uor\ j 4o P r-r v0•r f CGA 14 I-VA A A Ii on t, <br /> ro s f cMcr <br /> e _ratur ; <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: -F Quat.Amm.: ppm Other: -F <br /> Received By/Title: <br /> EH Specialist: Phone: L 16 f/ <br /> Time in: Time Out: 0 Page-;Pf 3� <br /> EHD 16-24 (2n1 pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />