Laserfiche WebLink
ot4v1 '•F SAN JOAQUIN COUNTY <br /> `i ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.orglehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 15 -'a~Gt Date: - _69 <br /> Address: ya City: Zip Code: <br /> wneNOpera r. Telephone: <br /> Program Element: [G <br /> �00 Program Record: 0 "_9 <br /> r-p Inspection Type: /�ri <br /> B180 Posted Yes © No v Permit Posted [Yes 11 No (�O Re-Inspection on or After: J <br /> t �SfrtiT 4��IS111C?JRC,TIA ►TI ? S <br /> ,..,�. <br /> !rn /114eaj f-�'OJ a14d Amity Weni v Al <br /> tyr tv ca ww c tvi A s-e mt tfkk a a�f� <br /> iatlii dreszw4 ellA"m*w COM "r) R f A! <br /> 9 a vn Sc d 4. ~ GID oe ra es <br /> i s a boy e F. �4 n Ch dre / _5y 7' el Ivt <br /> n-nlv e. sick i -r e2�5 <br /> rhe rae do ler n,` s e Ie s d�e ree o F <br /> des na If A wC 1,4144 M lc eJe E <br /> I <br /> Name: n Hand Sink: of Chlorine: ppm Heat: 'F <br /> Exp.Date: _ arew ing Sink: 'F Quat.Amm.: ppm ther: 'F <br /> If AReceived By 1 Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page of <br /> EHO16-23 (2ndpg) 11106100 FOOD OIRCONTINUATION <br />