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FOOD C -RAM OFFICIAL INSPECTIO' -1"ORT <br /> SAN ..JAQUIN LOCAL HEALTH DISTHiC r <br /> 1601 E. HAZELTON AVENUE, STOCKTON, CA <br /> PHONE 466-6781 <br /> DBA/NAME R j DATE <br /> ADDRESS RECHEC DATE <br /> OWNER/OPERATOR COMPUTER NUMBER <br /> MAILING ADDRESS TIME IN <br /> PROGRAMIELEMENT SERVIC i TIME OUT <br /> ap <br /> L_ <br /> APPLICABLE LAW PERMIT LICENSE <br /> The marked items represent Health Code violations and must be corrected as <br /> MAJOR MINOR follows: <br /> Food Temp. 1 2 /111 <br /> Z Prep/Service 3 4 m�/N/ <br /> StoragelDisp. 5 6 <br /> U Frozen Food 7 $ <br /> w <br /> ~O Pure Food 9 10 (' <br /> a Reused Food 11 12 <br /> Transportation 13 14 Q <br /> Handwashing 15 16 ( �%� G;t� _ " �' :Z 4222 <br /> a Disease Trans. 17 18 l + <br /> w Employee Habits 19 20 <br /> Z Rodents 21 22 <br /> Insects 23 24 ��'P`j T' �i <br /> > Animal/Fowl 25 26 <br /> _ <br /> Wash./Sant. 27 28 �i�'/ li i <br /> Z a Equip.Cond. 29 30 /l _J) <br /> d Uten.Cond. 31 32 / i,J 1"/ /f IbLr)G <br /> Storage 33 34 <br /> Storage Fac. 35 36 <br /> o (D Refrig.Units 37 38 <br /> pir Thermometer 39 40 <br /> LL Hazardous Mat. 41 42 <br /> Spoils43 44 ) �l 25 U <br /> Water 45 46 <br /> r <br /> 3 Cross Conn. 47 48 <br /> w Liquid Waste 49 50 <br /> Q Refuse 51 52 <br /> Premises 53 54 <br /> F g Lavatories 55 56 <br /> wToilets 57 58 <br /> °C Dressing Rooms 59 60 <br /> Ventilation 61 62 <br /> 7-1 <br /> LLI Floors 63 64 <br /> r <br /> :i Walls-Ceiling 65 66 <br /> U Janitorial Fac. 67 68 <br /> Q <br /> u_ Lighting 69 70 <br /> Clothing-Linen 71 72 <br /> U <br /> Living Quarters 73 74 <br /> Signs-Permits 75 76 <br /> ESTAB. STATUS: (MARK ONE) <br /> 77 78 79 80 81 <br /> E[] G[] ALJ F[_] pn OFFICE ADDRESS AND PHONE NUMBER REC BY: , <br /> LEGAL ACTION: IT IAN: <br /> 82 83 84 <br /> CITATION CLOSURE OTHER <br /> L PAGE OF <br /> t'`V�r 5184 <br />