Laserfiche WebLink
pUrty SAN JOAQUIN COUNTY <br /> �+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> "r 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> �/FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Lvl- U n,LJ- rl Date: 3_ a <br /> Address: 6910 fT S 1 cj r P city: +o�L,0 n Zip Code: ct 5� <br /> Owner/Operator: Lit m) D Telephone: dtS 3- 265a <br /> Program Element: I (o3Z Program Record: n (Z 0 Q 3 Inspection Type: �d21J v 4;�L <br /> SB180 Posted Yes E No Permit Posted)(Yes ❑ No Re-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTION <br /> 1n Gaut D o ra k o — —6 u P--e- <br /> 6D n4 L <br /> qr L <br /> AL.'_ ix <br /> s <br /> All <br /> n <br /> !s-e34 ° <br /> Name: L Hand Sink: �� of Chlorine: ppm Heat: of <br /> �_k a -- <br /> Exp.Date: _ aresv2a S'nk: 3 of Q t � ppm Other: of <br /> Received By/Title: Cf i ; <br /> yt— <br /> EH Specialist: Ate, Phone: 4453-7.9 <br /> r 53_ 7 6 <br /> Time in: / �,� Time Out: ! , Page}of' <br /> EHD 16-24(2n'pg) 4/3/13 / FOOD PROGRAM OIR CONTINUATION <br />