Laserfiche WebLink
o�a6k!N. F SAN JOAQUIN COU,,.—/'Y <br /> r` y ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s' ov.or lehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: U�{ M��,� { i Date: t� <br /> Address: �� G� ( City: � 7� Zip Code: <br /> Owner/Operator: 6 rnA r3t 11 0 11�� Telephone:V9— C <br /> Program Element: Program Record: Inspection Type: v VC'1 <br /> B180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> - C k-1 nt"f aS no t rpt%rl -0� I-tie m r vel <br /> +D t CAra atm 0- ray <br /> Ilrmff csclron Trat ..a # ortrtttpf111te <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppmLher: of <br /> Received By 1 Title. <br /> EH Specialist: 0. Phone: <br /> Time in: 3 /I: Time Out: :a 6 Page 1 of <br /> 11 <br /> FH016-24 (2h°pg) 413+13 FOOD PROGRAM OR CONTINUATION <br />