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FOOD 'OGRAM OFFICIAL INSPECTIG, —PORT <br /> SA! OAQUIN LOCAL HEALTH DISTRIG , <br /> 1601 E. HAZELTON AVENUE, STOCKTON, CA <br /> PHONE 466-6781 <br /> DBAINAME 1 DAT <br /> 24 <br /> ADDRESS - - ,7 RECHECK DATE" <br /> OWNERIOPERATOR COMPUTER NUMBER <br /> MAILING ADDRESS TIME IN <br /> PROGRAM/ELEMENT SERVICE .. TIME OUT <br /> APPLICABLE LAW PERMIT LICENSE <br /> The marked items represent Health Code violations and must be corrected as <br /> MAJOR MINOR tQlIOWS. <br /> Food Temp. 1 2 <br /> 9 <br /> Z Prep/Service 3 4 ,� r- r <br /> Storage!Disp. 5 6 <br /> UFrozen Food ] 8 <br /> p Pure Food 9 10 <br /> a Reused Food 11 12 <br /> Transportation 13 14 <br /> _J Handwashing 15 16 <br /> a Disease Trans. 17 18 <br /> w Employee Habits 19 20 <br /> Z Rodents 21 22 / 7 <br /> Cr Insects 23 24 ��� <br /> > Animal/Fowl 25 126 <br /> Wash./Sant. 27 28 <br /> Z Equip.Cond. 29 30 <br /> F- O Uten.Cond. 31 32 <br /> :D uJ <br /> Storage 33 34 <br /> Storage Fac. 35 36 <br /> UJ <br /> o (D Refrig. Units 37 38 <br /> ocr Thermometer 39 40 <br /> LL 0 <br /> V) Hazardous Mat. 41 42 <br /> Spoils 43 44 <br /> Cl Water 45 46 <br /> Cross Conn. 47 48 <br /> LU Liquid Waste 49 50 <br /> Q Refuse 51 52 _ <br /> Premises 53 154 <br /> Lavatories 55 56 <br /> w Q Toilets 57 58 <br /> cc Dressing Rooms 59 60 <br /> rn Ventilation 61 62 <br /> uJ Floors 63 64 <br /> r <br /> � Walls-Ceiling 65 66 <br /> U Janitorial Fac. 67 168 <br /> a <br /> `L Lighting 69 70 <br /> U Clothing-Linen 71 172 <br /> c_n Living Quarters 73 174 <br /> 2 Signs-Permits 75 76 <br /> ESTAB. STATUS: (MARK ONE) <br /> 77 78 79 80 81 <br /> E[] G[] A[] F❑ P❑ OFFICE ADDRESS AND PHONE NUMBER ED BY: <br /> LEGAL ACTION: <br /> SANI <br /> 82 83 84 <br /> CI TAT ION <br /> 1-1CLOSURE❑ OTHER PAGE OF <br /> O 5184 <br />