Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> x a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.smgov.orglehd <br /> �IAOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: G Date: ' 01- /& <br /> Address: City: r Zip Code: <br /> OwnerlOperator: — Telephone: <br /> Program ElenI <br /> I C Program Record: S 7 C) 0 -T J C 2 Inspection Type: <br /> B180 Posted ❑Yes Li Rermit Posted ❑Yeesl ❑1Re-Inspection on or After: <br /> �r ( �s�gyy+� -.�...c:::.:.::.:.:.:vA cwt <br /> I�+� ISrA'A�isLdESI `.ik:1'�.'•'-,,,'.,,„'�„`., �rP'� _ <br /> Dov; di j ar be /ate 40 <br /> r e- 1, ) <br /> be .1I ecl W, a nr u . <br /> v n 01 i Gtr rou ;n <br /> be <br /> c sQ � ra e <br /> 0 , V . 4o P ermIn Ce e q I hrA VE bee <br /> >: <br /> Wbi <br /> Nam Hand Sink: 12 -2 of Chlorine: ppm Heat: of <br /> p.Date: NNrewashing Sink: of Quat.Amm.: ppm Other: F <br /> R ei d By I Title: 0LiJ/� r <br /> EH Spec Phone: ��r <br /> § Time in: G Time Out: S Page of <br /> 1 <br /> FHD 16-24 (211 pg) 4013 FOOD PROGRAM OIR CONTINUATION <br />