Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> P <br /> �+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �q..., ��P• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> �lFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: n Date: �5 <br /> Address: �,� City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: S V-7Inspection Type: <br /> SB180 Posted Yes ❑I No Permit Posted X <br /> Yes ❑ No Re-Inspection on or After: <br /> a gB$ERVATION,S AN CORRECTIVE.ACTIONS T,. <br /> 1q 1W I-0 <br /> �'/n r).-L a <br /> {� . E1-liv�d�v �- rc�— r !'WK- P414� a rrw-tom <br /> z �vt 4 Iliiy.�d1 <br /> 10 St <br /> Lo <br /> t <br /> ,IrriSCA A vi.� aH <br /> ccs <br /> LZZoL 3(P <br /> S0 v u In r <br /> all PV1.WP_1. <br /> aG( v "Wr Z LC, pre /K CIGI�► ih GYI <br /> AP l dw a 3 xti(_ ,! 3,ft4 <br /> Name: ✓ rjh�/�,.I Hand Sink: S�i �FChlorine: ppmHeat: of <br /> Exp.Date. ' arewashing Sink: Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: ,"G <br /> Time in: j Time Out: C Page TI <br /> EHD 16-24(211 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />