Laserfiche WebLink
SAN JOAQUIN COUh(Y <br /> 0� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> a /FakN;p Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: f //1!5/1)17 <br /> Address: -17 5 ' City: Zip Code: 77./JC�D <br /> Owner/Operator: T� ,/1 .n/ Ta � (7P�'—aST� <br /> Program Element: „ Program Record: 61 I� Inspection Type: <br /> B180 Posted 0 Yes 0 No Permit Posted as 0 No! Re-Inspection on or After: <br /> (AAA JAIJAr d <br /> -A LiZOLO kuZe Z_. <br /> C,,Zd 4744W7L,-A <br /> ZKOo' <br /> nA <br /> ,d Co <br /> TZ <br /> 0 "Zz 7 <br /> 22 h Alta. <br /> Name: and Sink: 4hlorine:m ppmeat: •F <br /> Exp. Date: arewashing Sink: uat.Am : ppm her: •F <br /> Received By/Title: .T <br /> EH Specialist: Phone:' _ �_O3 <br /> Time in: �, a Time out: l d� 5'V Page o <br /> . 3 <br /> BID 16-23(2°pg) 11/06ID8 FOOD OR CONTINUATION <br />