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Q�Rtllry. L� SAN JOAQUIN CiOU*-f <br /> y' ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1a <br /> x :< <br /> 600 East Main Street, Stockton,CR,.95202-3029 <br /> to Telephone: (209)468-3420 Fax:(209)464-0138 :www.s'qoy.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Date: Z f <br /> Name of Facility: � <br /> ddress: y City: Zip Code: /7) <br /> / ephone: 9-2-3 <br /> 7 �� <br /> nerlOperstor. - - ��j <br /> Program Element: 0 ogram Record: S� S lint L Insp ion T it , [/ <br /> 6180 Posted []]Yes ❑ No Permit Posted ❑Yes ❑No Re-Inspec on on or Ar0/1;2er: vin. <br /> k � <br /> J C �G J n / r 66V <br /> &Y1Ge <br /> t l9 ✓ Gt (.,i' 'fh11 I/hl <br /> eIh <br /> if dwzi s` g 1K wolez"At (tC <br /> 0 S1 <br /> 7 (6 Role <br /> ,n,�lvt Rcvr?c J ru�kt <br /> jVw lrr� ._ 2 <br /> Catt <br /> Sy s <br /> mow= tic,�,,,,,,fi cru �r r Iss ✓after u b <br /> s I`� Lb'F <br /> Rik AIAX IQ" HA. iWWVAA&4 <br /> Ara Mot eF <br /> i ( aru �sc �cf 3 <br /> d oLpyr h ✓ &V/ I61 kV 8IV <br /> ? Zv t{tic Gr<<ve1 port a6u v— <br /> uv%"lAftl nt e r s cau -3 <br /> N <br /> AK ( C YlT vvL!✓ f <br /> -r <br /> Name: and Sink: O -F hlorine: PPM Heat: 'F <br /> L714'6( 1 <br /> 19 <br /> Exp.Date: - a washi Sink: ^F uat.Amm.: PPMOther: `F <br /> Received By I Title: <br /> H Specialist: Phone: /„ <br /> ime in: Time Out: Page of 1 <br /> EHD 1624 (2°pg) 1112109 FOOD PROGRAM OIR CONTINUATION <br />