Laserfiche WebLink
SAN JOAQUIN COUNv+ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> ;.... . ..;P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.siaov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: W l/k1 C L / Se#eog_ <br /> Date: OW-1-/c, <br /> Address: Qpp j'9&ct4P' Kuliv , city' 'jzgL Zip Code: T- <br /> Owner/Operator: 011'(13A0 <"r r U 4POW, Telephone:CJ �y)h fef- - <br /> Program Element: R'00( <br /> Program Record: S/tm 0 3Go Inspection Type: <br /> B180 Posted 1?Yas—C-No- Permit Posted Re-Inspection on or After: <br /> a _ slrE rtes <br /> rf,9s u <br /> j0 AXI A40UPOED FSR K7AA,11bi0&MML so�P �T 7-7/5"14VO'bw _ T aN CtJ 7�K <br /> Aaw Wifts jkom "ELt F.Li <br /> K'RN GrJtM V I Wrr2E ur2r b ail <br /> ElElTRI! L ELIi 1<1eKIP6- <br /> -- <br /> ame: Hand Sink: >F hlorine: PPM eat: .F <br /> xp.Date: Narewashing Sink: <F uat.Amm.: PPM her: eF <br /> eceived By/Title: <br /> EH Specialist: P e: <br /> !mein: 1 v Time Out:Y CJ� Page/of <br /> EHD 1624 (2n°Pg) 11009 FOOD PROGRAM OIR CONTINUATION <br />