Laserfiche WebLink
" SAN JOAQUIN COUNTY <br /> Q: a <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • r.., - ;P Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.siaov.ora/ehd <br /> 9G/FOftt� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: /� <br /> Address: City: Zip Code: <br /> caner/Operator: Telephone: <br /> r/ yea <br /> Program Element: Program Record: /V /D L!/ I" Inspection Type: <br /> B180 Posted Dyes 0 Hermit Posted DD Yess /D 1 Re-Inspection on or After: <br /> „OBSERVATIONS AND CORRECTIVE ACTIONS <br /> (tiP <br /> s <br /> J 11 I640 <br /> N Cb�-C r YV� <br /> 04!1,44 rU/ Ak/A f-C <br /> �Ut�ro aAt ti eiAtU <br /> ti <br /> Name: and Sink: 'F hlorine: ppm 11 Heat: "F <br /> Exp.Date: are hing Sink: `F uat.Amm.: ppm ir <br /> ther: 'F <br /> Received By/Title: <br /> EH Specialist: - Phone: <br /> ime in: Time Out: Page of <br /> EHD 1624 (2n°pg) 413/13 FOOD PROGRAM OIR CONTINUATION <br />