Laserfiche WebLink
UA <br /> SAN JOAQUIN COUNTYENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www siaov.oro/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C-1) Date: '3_ _ <br /> Address: 1y2 C City: Zip Code: OI <br /> \ <br /> Owner/Operator: Gt_ '\ J Telephone: <br /> Program Element: `1 Ili Program Record: N:7 iN O O-SInspection Type: <br /> 8180 Posted vJ 0 Yes ❑ Rermit Posted ❑Yes 01 Re-Inspection on or After: <br /> t <br /> Y� <br /> Name: and Sink: aP hlorine: ppm Heat: eF <br /> Exp.Date: arewash' k: of uat Amm.: ppm ther: eF <br /> Received By I Titl <br /> H Specialist: hone: <br /> `1 - 033c� <br /> ime in: `il ^ Time Out: k2 ' LVO Page t of <br /> EHD 16-24 (2' Pg) 4/3/13 `l FOOD PROGRAM OIR CONTINUATION <br />