Laserfiche WebLink
r SAN JOAQUIN COUNTY <br /> OR`Qu1N' C <br /> 04 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:wvvw.s ov.org/ehd <br /> i <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Date: <br /> Name of Facility: wcd Wct-s City: Zip Code: "}5 ZU� <br /> ddress: (0 ►r � 111 Q �� Telephone: <br /> OwnerlOperator: F w �J <br /> T► Z 5� Inspection Type: <br /> Program Element: t_I�� Program Record: ;71 � \a (0 <br /> 010 T p Yes ❑1 Re-Inspection on or After: <br /> 8180 Posted ❑Yes ❑ Rermit Posted <br /> .o <br /> �fl <br /> Q 0 <br /> I <br /> ._ ,. ..... �.'y..,p. >...,...a:....... y,p.:� 7717" <br /> >, <br /> &(CGn C Ca <br /> e ---cys A6 , jr_ -- - -- xi Cc;�`- .Acta u <br /> �5�e h I <br /> C�1s <br /> fl1 Cz......i~diir° mirvssfi "... <br /> _.....- . ............._. tom... ..... �. ,. <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: 'F <br /> Exp.Date: ewashing Sink: `F Quat.Amm.: ppm Other: 'F <br /> Received By!Title: <br /> a. EH Specialist: Phone: r1am ' ! <br /> q ime in: Time Out: `dPag f <br /> EHD 16-24 (2^d pg) 413113 FOOD PROGRAM OR CONTINUATION <br />