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4%le SAN JOAQUIN COUNI*ft.4 <br /> �o eoc <br /> A ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.smqov.org/�Eehd <br /> �fFpA <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: l v ­z� - C 5 k_ Date: 1 -22—ho <br /> Address: <br /> -22— <br /> ddress: 1 ` city: , zip code: a 53b <br /> OwnerlOperator: S i Cfi e �1 C I Telephone: <br /> Program Element: Program Record: Inspection Type: 1—i �p <br /> SB180 Posted ❑Yes ❑ Rermit Posted []Yes [] I Re-Inspection on or After: <br /> 004r. A " SON'S <br /> 00-.}q (32 <br /> �2Z <br /> C ~ <br /> �7� -- - <br /> S <br /> - <br /> z=z <br /> CAA <br /> t4e> cedficxt T t ism t Ttri re <br /> 2 4 vsZ - Sin <br /> Foa- ea�itift&$Nr + ifar . <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.bate: Warewasiiiiig Sink: of Quat.Amm.: ppm Other: of <br /> Received By l Title:45.m r� <br /> EH Specialist: r �`�- �z P one: <br /> ��C" CSC�-���`�'�- -- ---- 14 b Q)- � <br /> ime in: 1 Q Time Out: �� y Page Of ; <br /> EHD 16-24 {21 pg} 413113 FOOD PROGRAM OIR CONTINUATION <br />