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FOOD OGRAM OFFICIAL WSPECTTON REPORT <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT(209)468-3420 <br /> 304 E.WEBER AVE.,THIRD FLOOR,STOCKTON,CA 95202 <br /> DBMiAME B��T S j,Lr�a'4�T TEL! ) 4`16- DATE 11301 Ox <br /> ADORass X103 A.)- Pft&44i., 49 STOCK?'1�•� <br /> PRI is Q A, <br /> OWNER/OPERATOR TEL 1 1 TIME IN TME OUT <br /> MAILING ADDRESS <br /> PROGRAM/ELEMENTPERMIT M SERVICE TRANSFER DATE <br /> (&-of F1---14L /,us-IEGTtO,._,0 <br /> FOOD FACILITIES OPERATING WITHOUT A VALID PERMIT ARE SUBJECT TO CLOSURE.TRANSFERS OF OWNERSHIP NOT REPORTED WITHIN THIR (301 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 VIOLATnM18 ARID MUST BE CORRECTED IN ACCORDANCE r <br /> I M.UOR MINOR <br /> WITH THE IDENTIFIED TIME SCHEDULE& <br /> I I <br /> I <br /> F000 Temp. 1 2 <br /> �a "� � • <br /> Z Prep/Service 3 4 / c�(-t g G.. i/L.S T-q��r j:C i/ P t •+-./G v'L-Q-�d.Ft+( <br /> Storage/Diso. 5 16 <br /> U Frozen Food 7 1 8 <br /> LU <br /> L'a): <br /> Pure Food 9 101 <br /> Reuseo Fooa E13 <br /> 112 �. <br /> Transportation 114 <br /> Hanowtsning 15 116 <br /> Disease Trans 17 1181 <br /> W Employee Habits 19 0 �S'�•c-(C (a-EJ•�+s•^� rgng <br /> c C S i n..S fCt�(c <br /> Z Rodents 21 122 <br /> Insects 23 241 �v v t czt a t` S Qi'o "�" 1�S �'�`ca� fD r f9-�/O L/`e� �•- <br /> > Animal/Fowl 25 261 S r K� r.�f•��;,� C cs-I ,�— Gcc•SLI Sr w-� CRc 1'a�-Q r'"!/2 �'�e <br /> _ Wash./Sant. 1271 281 1T S <br /> Z a Eouip.Cond. 291 30' ` <br /> 0 O Uten.Cond. 311 432 . /L{C rtp v�GGG v .. stili vl�t c f�7� Ltd"-C <br /> W <br /> storage 331 1341 <br /> Storage Fac. 1351 136 S'e � [ .0: e le°r-C GL'Ze-•'�z <br /> o uj Retrig.units A431A4 <br /> C) cc Thermometer c&4-/I'S INl a L-& t+�G Co �'+^�C 7- �-4 --e t A <br /> " � Mazarpous Mat- - <br /> Smis t�0 G t��CY/-c&sI� 0 c'S 4 01) 3 <br /> Water 1451 1461 <br /> Cross Conn. 1471 148 lS /8rg 0,ii-f- C2 c`a( l 4 7 2 C 2 rK <br /> uaulo We ats 49 1501 j <br /> <0 Refuse 51 52 1�c aS cweG c'•O v vLA>su <br /> Lu <br /> a - <br /> 3 Premises 53 54 <br /> . 2 Lavatories 155 1561 cc"'6-- eQt-L"L.D j(;,-e_ 4L <br /> LOU 00 Toilets 158 <br /> Q tz Dressing Rooms 159 1601 <br /> N Ventilation 1611 162 <br /> L" Floors 63 164 <br /> a Q �o ✓'t t _. <br /> _n Walls-Coiling 65 66 <br /> L) janitorialFac. 67 68 C S�� � C`f t� .-t,a c f r (fin 2F� S e c` <br /> 4 <br /> LL Lighting .691 170 <br /> I Clothing-Linen 1711 172 Iq A_� t-i W�.A, CL <br /> e C:I <br /> Ln Levine OuanerS i 7°1 1741 <br /> zi it <br /> Signs-Perms 1751 1761 L � >9 'O~ <br /> l ESTAE. STATUS: (MARK ONE) / REINSPECTION DATE <br /> Q[S�WaSCtp�- -- d iG fDO ••r.. C(� <br /> 77 78 79 8C e <br /> L E I i G; A j � F^� F ENVIRONMENTAL HEALTH PERMIT AND SERVICE CHARGE FEES ARE RE <br /> L_ l_J � J AUTHORIZED BY SAN JOAQUIN COUNTY ORDINANCE.ALL DOCUMENTED <br /> LEGAL ACTION I IMMEDIATE HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT.-C-1ENVIRO AL EALTH SPECIALIS <br /> TO A REINSPECTION AND REINSPECTION FEE.ALL UNPAID CHARGES <br /> EZ E V �� I ASSOCIATED WITH THE FACILITY OWNER OF RECORD OR APPLICANT <br /> (JTAT.ON ICLOSUREI I OTHER 1 SHALL BE PAID PRIOR TO THE ISSUANCE OF A PERMIT TO OPERATE PAGE OF <br /> PHS-EHD 134(05/02) <br />