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Ot FOOD __tOGRAM OFFICAL INSPECTIOr--IEPORT <br /> SAN'j%AQUIN COUNTY PUBLIC HEALTH Sk,.cVICES <br /> ' < r ENVIRONMENTAL HEALTH DIVISION (209)468-3420 <br /> �- 445 N.SAN JOAQUIN STREET,P.O.BOX 2009,STOCKTON CA 45201 I <br /> DBA/NAME COS TEL DATE <br /> ADDRESSx SWEEPS NUMBER <br /> OWNEFIX)PERATOR TEL( y TIME OUT TIME IN <br />` MAILING ADDRESS <br /> I <br /> PROGRAMIELEMENT, SERVICE TRANSFER DATE <br /> FOOD FACILITIES OPERATING WITHOUT A VALID PERMIT ARE SUBJECT TO CLOSURE.TRANSFERS OF OWNERSHIP NOT REPORTED WITHIN THIRTY(30)DAYS FROM THE <br /> RECORDED DATE OF TRANSACTION ARE SUBJECT TO THE BASE PERMIT FEE PLUS 100%PENALTY. <br /> THE FOLLOWING ITEMS REPRESENT HEALTH CODE VIOLATIONS AND MUST BE CORRECTED IN ACCORDANCE <br /> WITH THE IDENTIFIED TIME SCHEDULES: <br /> I MAJOR MINOR <br /> r <br /> I _ I <br /> ood Temp 1 2 <br /> y Prepiservice 3 4 r♦ �r W F1 �� �� J (7 �. <br /> Storage l Disp. 5 6 <br /> .F.lozen.F_ood,r.,.,_."-f7. .—t.$ <br /> O Pure Food 9 10 - <br /> a. Reused Food 11 12 <br /> Transportation 13 14 <br /> II Handwashing 1511r.1 D 7- <br /> Disease <br /> ♦ J <br /> n Disease Trans. 17 18 4 <br /> LU Employee Habits 19 20 C i? -, z r S re /7 �q r <br /> Rodents 21 22 <br /> Insects 23 24H r t O P�Q R l� r c <br /> UJ <br /> Wash. Sant. 25 26 <br /> Wash./Sant. 27 28 T D <br /> Lu ? Equip.Cond. 29 30 / <br /> O D LU <br /> then.Cond. 31 32 'r / Q <br /> Storage 33 34 <br /> I <br /> Storage Fac.- 35 36 <br /> ft"k, u <br /> W Retrig.Units. 37 38 <br /> O 39 40O ¢ Thermometer i =f <br /> S y$' Lr /afi5� <br /> N Hazardous Mat. 41 42 <br /> p <br /> 43 44Spoils <br /> Water 45 46 <br /> Cross Conn. 47 4r[ <br /> Lu Liquid Waste 49 50 j <br /> Refuse _ 51 52 <br /> 3 Premises 16 - <br /> 3 <br /> 54 <br /> Lavatories 56 <br /> w O Toilets 5$ <br /> ¢ CC Dressing Rooms 60 <br /> N Ventilation 62 <br /> L" Floors 164 <br /> I-- <br /> _i Watts-Ceiling 65 1661 <br /> t <br /> v Janitorial Fac, 67 1681 <br /> Q <br /> u' Lighting 69 1701 <br /> Clothing-Linen 71 72 <br /> u_i t_Mng Quarters 73 74 <br /> I <br /> Signs-Permits 75 14 <br /> ESTA8. STATUS: (MARK ONE) / i . REINSPECTION DATE: <br /> 77 78 79 80 <br /> E[] G[] A❑ F❑ P❑ ENVIRONMENTAL HEALTH PERMIT AND SERVICE CHARGE FEES ARE REE'CEIVE BY- <br /> AUTHORIZED BY SAN JOAQUIN COUNTY ORDINANCE.ALL DOCUMENTED r r7 <u 4 <br /> LEGAL ACTION: IMMEDIATE HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT ENVIRONMENTAL HEALTH SPECIALIST: <br /> 82 83 84 TO A REINSPECTION AND REINSPECTION FEE.ALA.UNPAIDCHARGES <br /> ASSOCIATED WITH THE FACILITY OWNER OF RECORD OR APPLICANT <br /> CITATION j'CLOSURE❑ OTHER L SHALL BE PAID PRIOR TO THE ISSUANCE OF A PERMIT TO OPERATE, PAGE I OF <br /> EH 01 02 (Rev11/92) I <br />