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San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �... _ P Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> QLtkoR�'� <br /> Food Program Service Request Inspection Report <br /> Facility Name and Address: 133 CLUB, 133 W YOSEMITE AVE , MANTECA 95336 <br /> bar 3-comp--123.00°F mop sink--120.00°F <br /> men's restroom hand sink--115.00°F walk-in cooler--35.00°F <br /> women's restroom hand sink--115.00°F bar hand sink--120.00°F <br /> NOTES <br /> Currently three 20#cylinders of CO2 <br /> Bar only/no food prep. <br /> Ok to bring in outside food from a permitted facility <br /> OK to permit as a 1621 Bar only/no food prep. <br /> Return to 1868 E Hazelton Ave. in Stockton to pay the annual permit fee of$245 by 2 business days. <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> :M)9_�?q9_Aq_ <br /> Received by: Name and Title: Steve Raffo,owner <br /> EH Specialist: KADEANNE LINHARES Phone: (209)468-0330 <br /> FA0000890 SR0077116 SC061 04/05/2017 <br /> EHD 16-23 Rev.06/30/15 Page 2 of 2 Food Program Service Request Inspection Report <br />