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FOOII�OGRAM OFFICIAL @ISPECI70N REPORT -4 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT(209)468-3420 <br /> 304 E.WEBER AVE.,THIRD FLOOR, STOCKTON,CA 95202 <br /> DBAAMYE Y`� TEL 1 0 ATE <br /> ADDRESS PRI 0 j� J <br /> OWNERA]PER'TG(i to`^ TEL 1 TWE IN TME OUT <br /> MARJ NG ADDRESS , ` <br /> PROORAM&LEMENI PERMIT SERVICE _ n TRANSFER OATS <br /> FOOD FACILITIES OPERATNO WITHOUT A VALID PERMIT ARE SUBJECT TO CLOSURE.TRANSFERS CF OWNERSHIP NOT REPORTED WITHIN THIRTY('Jet DAYS FROM THE <br /> RECORDED DATE OF TRANSACTION ARE SUBJECT TO THE BASE PERMIT FEE PLUS 100%PENALTY. <br /> THE FOU-Ciw O rTEMS REPRESENT HEALTH CODE VIOLATIDPL4 AND MUST BE CORRECTED IN ACCORDANCE <br /> i <br /> I MUOR MINOR WITH HE IDENTIFIED TWE SCHEDIAES: <br /> oaa Temo. 1 2 -` L L F 1 n� 'A e)^,_ _ <br /> 2 Prso/Serv¢e 3 4 WXWI•'I'J� J VDD 1p�.l�C/1 V• WL.(pA <br /> StorgleJD.So. S 6 �NN <br /> Wimmom <br /> Froz.n Food 7 8 .W"1rA.�� G.N+"� \ TV`h Jl�t^VEX <br /> ~O Pun Food 9 10 <br /> ¢a Reused Food 11 112 <br /> Tnrw I'm 13 11A 9 i <br /> Hamerasmnp 115 116 f r0V I t�C.lA <br /> Disease Trans 17 118 <br /> Emotoyea Haeils 19 120 7je`VLrOYILIA <br /> M Ltn <br /> _Z Rtloenta 121 122 <br /> Insets1231 124JU <br /> j AntmaU1ant. 227 285 2 <br /> w �� � �t� n <br /> _ un.rs.nl. �lN <br /> z LL Eou.o.Coro. 29 30 <br /> w o Unn.Cony. 31 132 <br /> j w Slor•pe 33 34 <br /> Slone•Fac. 35 136 <br /> o 0 RNtlp.Units 3744wo <br /> 8 ¢ TMm a nsur 39Mat. 41Soala 43 <br /> <IWater f45 IAB <br /> Cross Corin. d7 148 <br /> 3 <br /> u., Uouid Waste 49 150 <br /> Refuse 51 52 <br /> 3 promise• 53 54 <br /> 2 Lavterlea 551 1561 <br /> 00 O Toilets 57 580 <br /> w V , a <br /> ¢ ¢ Dnsem <br /> mq Roos 59 6 <br /> Ventilation1611 162 <br /> LN <br /> Floors 1631 IBA 1 <br /> �n .� <br /> F l� 1 <br /> WeOeComng 65 66 - <br /> aJanitorial Fac. 67 168 n N'h e' <br /> t` upmmqJ691 701 1 <br /> I <br /> Ciommp.Ltnen 1711 1721 1 <br /> N UOue, I7° 174 .y, <br /> �I S�vinq pna175 176 <br /> ESTAB. STATUS (MARK ONE) �! ,�„ - RESPECTJON DATE <br /> 77 78 79 Sr E'� �� N <br /> IEIl. I Gi JI Aa F� P I ENVI HPE EPEE R By <br /> AUTHORIZED BY SAN JOACUIN COUNTY ORDINANCE.ALL DOCUMENTED <br /> is LEGAL ACTION I IMMEDIATE HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT E VI ON NTAL T SPE IST <br /> I TO AREINSPECTION ANDRE INSPECTION FEE.ALL UNPAID CHARGES T <br /> e' F� 1 ASSOCIATED WITH THE FACILITY OWNER OF RECORDOR APPLIC.WT E <br /> IOTAT.01 ICLOSURE! i OTHEF—i I SHALL BE PAID PRIOR TO THE ISSUANCE OF A PERMIT TO OPERATE I PAGE i OF <br /> ` I <br /> PHS.E14D 134(05102) <br />