Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c... ;P. Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sioov.oro/ehd <br /> 9G�FOF� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPOR <br /> Name of Facility: Date: I L yUZ <br /> Address: O City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: l u AL2Program Record: //-0/11) Inspection Type:(._0 <br /> BI80 Posted Yes No Permit Posted Yes lY No Re-Inspection on or After: <br /> S f20Avq 6w <br /> y � rel�e <br /> n <br /> 6e, 'k <br /> lL o re <br /> St L S <br /> 7Dte <br /> Food Safety Certification <br /> Hand Sink: eF Chlorine: PPM eat:arewashing Sink: `F Oust.Amm.: PPM her: 'F <br /> Received By/Title: <br /> EH Specialist: _ Phone: Toll <br /> D C) <br /> ime in: Z Time Out: v Peg of <br /> Y <br /> EHD 16-24 (2'"pg) 45(13 FOOD PROGRAM OF CONTINUATION <br />