Laserfiche WebLink
. � <br /> w oaQu1N...� SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> tlF: a <br /> ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sigov.orgleh <br /> �Ikoaa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Fcility: a..-k Date: 20111, <br /> l s r rCity: Zip Code:rator: Telephone: "! <br /> Program Element: l Program Record: Inspection Type <br /> 8180 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑ 1 Re-Inspection on or After: <br /> t G <br /> F i � y a rAA <br /> r l S l \ f <br /> V <br /> Lr rp rid , <br /> JAA OA <br /> f e [ 1 <br /> -�_ iLe <br /> t <br /> fo <br /> ----------------- <br /> ;, >Fovtl '' • ..,... `':�1i5i�lrr'�`�i'>�m; :...�;i�'c •:'%!_V��nt;�€ �:'`� <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: of <br /> } Exp.Date: Warewashing Sink: 'F Quat.Amm.: ppm Other: 'F <br /> I <br /> [eceivedBylTitl <br /> Phone:H Specialist: �me in: {1 '"` Time Out: Page of <br /> EHD 16-24 (211d pg) 413113 d_ FOOD PROGRAM OR CONTINUATION <br />