Laserfiche WebLink
FOOD , DGRAM OFFICIAL INSPECTIOI ;EPORT <br /> SAN )AQUIN LOCAL HEALTH DISTRICT <br /> 1601 t. HAZELTON AVENUE, STOCKTON, CA <br /> PHONE 466-6781 <br /> DBAINAME ` � ` � D <br /> t'l�-tUti �I� <br /> ADDRESS �� / RECHECK DATE <br /> OWNER/OPERATOR COMPUTER NUMBER <br /> MAILING ADDRESS TIME IN <br /> PROGRAMIELEMENT SERVICE �� TIME OUT <br /> APPLICABLE LAW PERMIT LICENSE <br /> The marked items represent Health Code violations and must be corrected as <br /> MAJOR MINOR tOIIOWS. <br /> Food Temp. 1 2 _ <br /> Z Prep/Service 3 4 ,� <br /> O <br /> r- <br /> StoragelDisp. 5 6 <br /> LO Frozen Food 7 8 �d <br /> p Pure Food 9 10 <br /> a Reused Food 11 12 <br /> Transportation 13 14 <br /> _J Handwashing 15 16 <br /> 2 Disease Trans. 17 18 <br /> w Employee Habits 19 20 (/ <br /> Z Rodents 21 22 <br /> 2 Insects 23 24 <br /> j Animal/Fowl 25 26 <br /> Wash./Sant. 27 28 <br /> Luz Equip.Cond. 29 30 <br /> r- O Uten.Cond. 31 32 _� G..• y - <br /> D w <br /> Storage 33 34 <br /> Storage Fac. 35 36 <br /> w <br /> !L <br /> o Cr) Retrig.Units 37 38 <br /> pa _ <br /> ¢ Thermometer 39 40 <br /> L` r0 Hazardous Mat, 41 42 <br /> Spoils 43 44 tet' <br /> Water 45 46 <br /> 5 Cross Conn. 47 48 <br /> w Liquid Waste 49 50 <br /> F- <br /> Q Refuse 51 52 <br /> Premises 53 54 <br /> r Lavatories 55 56 <br /> w 00 Toilets 57 58 <br /> ¢ Dressing Rooms 59 60 <br /> U) Ventilation 61 62 <br /> uJ Floors 63 64 <br /> H <br /> Walls-Ceiling 65 66 <br /> U Janitorial Fac. 67 68 <br /> a <br /> LL Lighting 69 70 <br /> CJ <br /> Clothing-Linen 71 72 <br /> --- <br /> Living Quarters 73 74 <br /> 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 IVSD <br /> LEGAL ACTION: S <br /> 82 83 84 E_ �7 <br /> CITATION❑CLOSURE❑ OTHEH� <br /> PAGE OF <br /> OM S/FS4 <br />