Laserfiche WebLink
SAN JOAQUIN COUNTY <br />r ? ENVIRONMENTAL HEALTH DEPARTMENT <br />P: -1 <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />• c .., ;P • Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sioov.org/ehd <br />9GIFOR� <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility:Date: <br />OMER <br />a <br />Address <br />y- <br />City: Zip Code: <br />Owner/Operator: <br />fM h <br />Telephone: <br />Program Element: <br />Pr am Record: <br />Inspection Type:P_z�"V10, <br />8180 Posted Yes o Permit Posted Yes No <br />Re -Inspection on or After: r. 1 <br />EHD 16-24 IV pg) 4013 FOOD PROGRAM OR CONTINUATION <br />OMER <br />�'1It►�ll,�i: <br />,�� :.iiia. <br />��174SUS <br />a WN rl <br />' <br />Hand Sink: <br />oF Chlorine: <br />Date:,rteWar6washing <br />Sink: <br />'F lust. Amm.: <br />PPM <br />Received By/ Title: i <br />EH Specialist: <br />Irf/�Ti.7/�tJ <br />11IQ�1i <br />1..� <br />�►,r <br />.,.Time <br />Out: <br />PageCf <br />EHD 16-24 IV pg) 4013 FOOD PROGRAM OR CONTINUATION <br />