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FOOD.AOGRAM OFFICIAL.INSPECTION REPORT <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT(209)468-3420 <br /> 304 E.WEBER AVE..,THIRD FLOOR,STOCKTON,CA 95202 <br /> DBAMAMECom TEL l I �+� — S y DATE / o Z <br /> 1S PRI p <br /> ADDRESS 3 Z SD �C 1`1h <br /> OWNEROOPERATOR TEL( ) TRAE IN TRAE CUT <br /> MAILING ADDRESS <br /> PROORA AIELEMENT PERMIT IY SERVICE L TRANSFER DATE <br /> FOOD FACILITIES OPERATIiO WITHOUT A VALID PERMIT ARE SUBJECT TO CLOSURE.TRANSFERS OF OWNERSHP NOT REPORTED WITHIN THIRTY(3D)DAYS FROM THE <br /> RECORDED DATE OF TRANSACTION ARE SUBJECT TO THE BASE PERMIT FEE PLUS t 0D%PENALTY. <br /> THE FOLLOWING MEMS REPRESENT HEALTH CODE VIOLAT10N3 AND&AuST BE CORRECTED IN ACCORDANCE <br /> WITH THE IDENTIFIED TIME SCHEDULES: <br /> I MAJOR I PAINOR <br /> I <br /> F000 Temp. ' 1 1 12 <br /> Z Prep/Service 1 31 1 46bt�4aeArk) ' <br /> OStoragelDiso. 5 1 6 <br /> r <br /> U Frozen Food 71 81 1 eG 1 <br /> p Pure Food 9 10 <br /> a Reused Food 11 112 <br /> Transoonatton 131 11 a 1 <br /> I <br /> JI Hanowashing 115 116 Foal LgK_` pr <br /> Disease Trans 17 118 /I II // L <br /> WI EmDlovesHabits 19 (20 Wa I�` J� � M 1-1_' be Ven4 qG�d <br /> ? Rodents 121 122 <br /> j'21Insects 23 124 CC+ ° o/ 1 f. l— 4b3to <br /> AntmallFowl 25 26 tAACrt <br /> _ Wash./Sant. 1271 281 2 QeotAcc. ce P12"Ke'S 12a__ vAc <br /> z a <br /> Equiv.Cond. 291 1301 <br /> Outen.Cons. 1311 132 <br /> Storage 33 1341 <br /> Storage Fac. 35 136 4�r e e,2-trr Do prLar -S <br /> Refng.Unita 37 38 <br /> 0 ¢ Thermometer 39 40 3 rt I 14 t <br /> PuLurc"s Mat. 41 142 �A I <br /> S"Is 143 144 Mu `t b r IIH P <br /> Water 1451 1461 <br /> Cross Conn 1471 148 LaLuer sanuG <br /> Uouid Waste 491 50 r <br /> a Retuas 51 52 2G f Sy t r -� D r <br /> 3 Premises 531 1541 <br /> Laystoinos 55 56 Alpe- l s-, 15 ` ' v <br /> w 00 Tollets 57 58 -See 3t $ <br /> Q t= Dressing Rooms 159 1601 P — <br /> to Ventilation 161 162 <br /> L" Floors 163 164 y 'P a r r10—L ; <br /> r <br /> Z walls-Coiling 165 1661 <br /> Q Janitorial Fac. 67 168 C 21' r dkxict' 120-Dr— gd Si"t I�� Lkfnd I IK <br /> " Lignting 1691 170 <br /> Clothing-Linen 171 172 U '� <br /> S2Living Quarters j 7"1 174 <br /> Signs-Permits 17�� 1. 4 SPQ <br /> ESTAB. STATUS: (MARK ONE) REINSPECT ION13ATE <br /> 1 77 78 79 Sr F <br /> E l ___�1 I I r�j P F IRONMENTAL HEALTH PERMFT AND SERVICE CHARGE FEES ARE I RECEN <br /> u .J AUTHORIZED BY SAN JOAQUIN COUNTY ORDMIANCE.ALL DOCUMENTED <br /> !'LEGAL ACTION I IMMEDIATE HEALTH VIOLATIONS OR REPEAT VKYLATIONS ARE SUBJECT ENVIRONMENT L HEA PECIALIS" <br /> TO A REINSPECTION AND REINSPECTION FEE.ALL UNPAID CHARGES <br /> 6 <br /> ASSOCIATED WITH THE FACILFTI'OWNER OF RECORD OR APPLICANT � <br /> IC,TAT.o, ICLOSUAE' OTHER 1 SHALLBE PAID PRIOR TOTHE ISSUANCE OFA PERL4rr TO OPERATE ( PAGE OF <br /> 2— <br /> PHS <br /> PHS-EHD 134(05/02) <br />