Laserfiche WebLink
r Yr o*R�,In SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> - 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.orp/ehd <br /> RCiFpRi� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: G Date: <br /> tdner/Opera-tor: <br /> dress: �3 Px City: Zip Code: <br /> CTelephone: <br /> Program Element: It �}0 Program Record: �j Inspection TypecmVits <br /> : <br /> j§Bf8_0Posted V ❑Yes ❑ Rermit Posted ©Yes ❑ I Re-Inspection on or After: <br /> 01.09RVAMNSNIA 0ORMOVE A O S <br /> 1�VU.✓� P(iln � 1,TT-LCL <br /> CII-VL v� <br /> �. � <br /> Temperature <br /> = 1 Irt <br /> Name: Hand Sink: `F hlorine: ppm Heat: °F <br /> Exp.Date: arewashing Sink: aF uat.Amm.: ppmOther: "F <br /> Received By I Title: <br /> EH Specialist: Phone: fJ-5 - <br /> Time in: ' J�k "time Out: Page? <br /> END 16-24 (2-pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />