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a <br /> l <br /> 'Q� goo SAN JOAQUIN COUN . l <br /> x .ti ENVIRONMENTAL HEALTH DEPARTMENT <br /> Pa <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> . ..._.` P Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.si4ov.org1ehd <br /> 4ciFaRia <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: ZI / -yl I,[4V? City: Zip Code: <br /> Owner/Operator: Y40I f 0 I144A 1�oz Telephone: <br /> Program Element: Program Record: Inspection Type: a <br /> SB180 Posted ❑Yes F1 No Permit Posted ❑Yes ❑No Re-Inspection on or After: <br /> o� 10 JLjjiu at <br /> a <br /> I <br /> i <br /> n' <br /> i(lh (/� o (.�,� Q C <br /> a <br /> Milli <br /> Name: Hand Sink: ofChlorine: ppm Heat: OF <br /> Exp.Date: Warewashing Sink: of uat.Amm.: ppm ther: OF <br /> Received By I Title: <br /> L <br /> Z <br /> EH Specialist: Phon I ��3 <br /> ime in: Time'Out: Page/of <br /> EHD 16-24 (20°pg) 11009 FOOD PROGRAM OIR CONTINUATION <br />