Laserfiche WebLink
SAN JOAQUIN COUN <br /> _ ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q: <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �... c Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.siaov.org/ehd <br /> 9A�FOR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: • ` i S '�- Date: <br /> Address: 1 S City: / t p_ Zip Code: <br /> Owner/Operator: ,\ �o�7�Y Telephone: S ^' <br /> Program Element: Program Record: SZInspection Type: <br /> 8180 Posted ❑Yes ElRemit Posted ❑Yes ❑ Re-Inspection on or After: <br /> c q 1 <br /> AVA <br /> C <br /> n <br /> -7-11- <br /> C L <br /> _ <br /> C1 <br /> 7- 22-1 <br /> �\ O - 7I`u0- 234 <br /> Name: Hand Sink: -F hlorine: ppm Heat: -F <br /> Exp.Date: arewashing Sink: 'F uat.Amm.: PPM Other: -F <br /> Received By I Title: <br /> EH Specialist: _ Phone: <br /> Time in: Time Out: 3' - Page' of <br /> Z: 5 <br /> EHD 16-24 (2^°pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />