Laserfiche WebLink
oA "'" SAN JOAQUIN COUNTY <br /> q. ; ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax (209) 464-0138 Web:www.sogov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �'� - 5 ci U Von Date: 2—y `G <br /> r <br /> ddress: AL 150-\ City: a ff Zip Code: 9sem.s <br /> Owner/Operator: Telephone: <br /> y _ 3kZ <br /> Program Element: Program Record: Inspection Type: �O <br /> S61 80 Posted ❑Yes ❑ No Permit Posted 0 Yes []No Re-Inspection on or After: <br /> _ sr. �.. y�r was;a°� <br /> a OBS VATIafVS.ANDS;Cvc-A DTIV CTIONS y <br /> 1, i:� 4 �x ' �'C3L�i0Na4 &':2.'3�.:I.vi�E�ae. S <br /> Ir Q s c9 e, $)) f u vt C 6-i G 0 r <br /> V N C% E� <br /> r <br /> temli oca ro emperor u { iru3 catiu emp.ratter. Ite oc iQjj ritu <br /> bo `Safety°Ce'`fi'cati .n aci i '.o a erempera r Vit- r sin <br /> Name: Hand Sink: of Chlorine: ~ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By 1 Title: <br /> EH Specialist: Phone: ti, � <br /> Time in: Time Out: O /1,' Page„of <br /> 7— <br /> EHD 16-24(2nd pg) 1112109 FOOD PROGRAM OIR CONTINUATION <br /> S <br />