Laserfiche WebLink
SAN JOAQUIN COU, � <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c� lFOR��v Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Y14 Ko n�N u Date: `3 1,5 <br /> Address: City: Zip Code: 9;5P.-0-7 <br /> 4 Ha c.; ' L � <br /> Owner/Operator: c k� Telephone: 45 170 1 <br /> Program Element: t 23 PrograW Record: P Q� t(4 b 3.7 S Inspection Type:IS <br /> 8180 Posted Yes ElRermit Posted 1' Yes ❑t Re-Inspection on or After: l� <br /> <y R _..., ,o•a , <br /> 63© porK irl fv-en no+ 110- .e r»ajcAh . n w- tj r2 �a-fcj Y-e, Ls <br /> t. 4,�r Gtn s-{� r ice+-Fv c c: Cit ev d U r S h a� a e4o 1 -�o,r? <br /> b Co h rs --t* r r--e_a+ec-,4 <br /> t-t I iLt 11 <br /> M I z ca�d re-d Rk me w 6!1 <br /> + ezo 9-.s 1 L�kh_I s , LAb-_-4 <br /> L41 14 < <br /> rA w' Yvt.�2t et inr ay ® r u h d.e r ✓,2 <br /> --1 �ruL b r o <br /> Dors t,»cZ.e r 3-6.4D m-0 5''1� , 1�"B C� fl and _ ►', -e.. <br /> d.e );j . <br /> _-}u�► l cA_ee ,,i b�, 2vu -lis • - <br /> c-e- c:.m T 01--ye- Y nom+ <br /> D 5 cry O ,P 6t.fi l 35OF <br /> 20 <br /> — — — i -- <br /> .. I J 6© V <br /> b Q T 1 - - <br /> Saf@� �iii �3 Lt�i Ys'tltagYP�17� <br /> Name: Hand Sink: a of ChMjne y ;Z4 ppm <br /> Heat: of <br /> Exp.Date: . a washing k: of Quat.Amm.:7 d'" ppm Other: of <br /> Received By!Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page of <br /> EHD 16-24 (2n1 pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />