Laserfiche WebLink
�0�'4 •-�.o SAN ..IOAQUIN COURT <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ...... Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility; s �G Date: <br /> / <br /> Address: - Z � <br /> / 7 l0 CIS' I�'/i7/1 C Ic Zip Code: <br /> Owner/Operator: 10 jj'ZjTelephone:�qs.� 87` <br /> Program Element: 6 Program Record: Q Inspection Type: 44 1 <br /> ,C <br /> Bi80 Posted VVes ❑ No Permit Posted p'Yes ❑No Re-Inspection on or After: ' <br /> 20 RM'i0l' <br /> ldo r c. <br /> / /- I <br /> 00 6�OCIf�G r,Ji- C C-11 e 4�!4r? I� <br /> ss- cl c� v GOot-�e4 lCa�r- a, t a Itd i <br /> f <br /> '^ <br /> .. •�Lr�c;��on_ , _'.,� e'rem�er.�i�: �_. . ltenf.l iLvc�tton m ��tY1 ��.: a 1 1�. sm. rr . ::'��t€r�rute: <br /> 1 i <br /> r0 ec >g <br /> Wdf Fre-?-I-PP <br /> .. r <br /> _F <br /> ff <br /> HandSink: /QofChlorine: PPMHeat: of <br /> te: arewashing Sink: ! of Quat.Amm.: PPM they: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: ? <br /> 3 4 Time out: �� :Is—g Page of i <br /> EHC 1&24 (2'A pg) 419112 FOOD PROGRAM OIR CONTINUATI6N <br />