Laserfiche WebLink
I <br /> • ,0 4 . 0 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax;(209)464-0138 Web:www.sipoy.orplehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: fArM-,nit 4- r, c. Date: �/G <br /> Address: S� O { City. _ Zip Code: r 5:2 <br /> 2 0 <br /> Owner/Operator: I T Telephone: �T .L <br /> Program Element: 1600 Program Record: 2.G ? ? 4 r Inspection Type: <br /> SBI80 Posted ❑Yes a No Permit Posted p Yes ❑No ] Re-Inspection on,or After: <br /> fie, <br /> Gt S a C ai c L� 1�. re r.r h e Cc.r e4 <br /> u jl'1v5 I a <br /> weeepi4 c <br /> 6 <br /> - <br /> eip r M <br /> God ;d..,. Cer fica ti: FB i- e . bri . .re ar awashTr . <br /> Name: Hand Sink: OF hlorine: ppm Beat: OF <br /> Exp.Date: Narewashing Sink: 'F Quat.Amm.: ppm Other: F <br /> Received By 1 Title: <br /> F-H Specialist: '� Phone: <br /> Time in: ��! Time Out: Page, o� <br /> EHE 16-24 (211 pg)'7112109 FOOD PROGRAM OIR CONTINUATION <br />