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<. SAN JOAQUIN CANTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET,STOCKTON,CA 95202-3029 <br /> TELEPHONE:(209)468-3420 FAX:(209)464-0138 WEB:WWW.SJGOV.ORG/EHD <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: g 1-2g-log <br /> Address: City: - Zip Code: cd <br /> Owner/Operator: le on �6J <br /> Program Element: 1 Program Record: 60�7g37 In ecti ype: <br /> 6180 Posted Yes ❑ No Permit Posted es ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> f r b <br /> 2 � <br /> r <br /> i <br /> i <br /> Item/Location Temperatureparewashing <br /> n;'F <br /> ature Item I Location Temperature <br /> D° <br /> I <br /> Food Safety Certification eWarawashing <br /> Name: rine: ppm Heat: 'F <br /> Exp.Date: .Amm.: ppm Other: 'F <br /> Received By I Title: <br /> EH Specialist: Phone: Tr 469,033 <br /> Time in: T D Time Out: L7 Page of Z <br /> a <br /> EHD16-23 (2n0pg) 8/14108 FOOD OR CONTINUATION <br /> 08/14/08 <br />