Laserfiche WebLink
anA"•"• F SAN JOAQUIN COUNTY <br /> a•� A� <br /> r Z ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> •c �t• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: T 70017Date: N11,5211.10 <br /> ddress: City: Zip Code: <br /> Owner/Operator: PA4- el 0 3 <br /> Program Element: /_ Program Record: /_ O3 Inspection yp : <br /> 6180 Postetles ❑O No Permit Posted Yes Ll Re-Inspection on or After: <br /> . '1�017lfS Ail(R�ACTIONS <br /> 71,1 <br /> 16ert1'fL'amfigrte 7'e re'. _ ttemlloeatiorl Tamperapae <br /> 19 6 a <br /> Food _ `. FampY"WatprFemperatizs Wmawashing . <br /> Name: Hand Sink: /69.y- 'F hlorine: ppm Heat: 'F <br /> Exp.Date: Warewashing Sink: "F uat.Amm.: ppm ther: 'F <br /> Received By/Title: <br /> EH Specialist: I Phon fZ691 <br /> 3 <br /> Time in: Time Out: 0 5 PageZof <br /> EHD 16-23(2n0 Pg) 07/29/09 J FOOD PROGRAM OIR CONTINUATION <br />