Laserfiche WebLink
SAN JOAQUIN COUN-1 Y <br /> • �o. .caG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c.,- '..;P• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sj oq v.org/ehd <br /> 'OLlFO'R� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: J('`VV v Date: .n 14 <br /> Address: 1610p- t wW 2)0 City: Zip Code: �3 b <br /> 1LANNl�Q L L u C�.VV-1 + i Telephone: 2gci_ �Gi Z <br /> Owner/Operator: 7 <br /> Program Element: t (OZ _J <br /> Program Record: p0 ! G,2- b Inspection Type: \zw n <br /> SB180 Posted VYes 11No Permit Posted VYes ❑ No Re-Inspection on or After: <br /> O 3SERVATIONS AND CORRECTIVE ACTT <br /> 64\ `n tY W eo�- Nel "Cx) m <br /> riF- CX- <br /> 3 <br /> VFW,\at Ok F V-u WA_ CU tZ/r all r <br /> �n <br /> ctt <br /> Soot lr-) Int kV(_ Ck <br /> �piv1 c�nS i1�S ec-�iU� Cn'�- G'�1 Si� <br /> VY CA K i r\ C061W I`'F <br /> Name: Hand Sink: 00 of Chlorine: ppm Heat: JFExp.Date: arewashing Sink: 'F Quat.Amm.: ppm Other: <br /> 777 <br /> Received By/Title: <br /> EH Specialist: - Phone: <br /> Time in: f Time Out:O`r(J0 CJPage2-of <br /> EHD 16-24 (2n'pg) 413(13 1 FOOD PROGRAM OR CONTINUATION <br />