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4 � <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT(209)468-3420 <br /> X304 E.WEBER AVE.,THIRD FLOOR,STOCKTON,CA 95202 <br /> D6AMAME � TEL( ! DATE <br /> ADDRESS PRI# <br /> 8103 .4 4 nJ .2_ /loow <br /> O.NERrOPERATOR TEL I I TSAE N TaAE OUT <br /> MAILMIG ADDRESS <br /> PROGRA A&LEMENI PERMIT k SERVICE TRANSFER DATE <br /> 1Ga • <br /> 01 /n�A L !•��EG'7Zo <br /> FOOD FACILMES OPERATNG WITHOUT A VALID PERMIT ARE SUBJECT TO CLOSURE.TRANSFERS OF OWNERSHP NOT REPORTED WITHIN THIRTY=DAYS FROM THE <br /> RECORDED DATE OF TRANSACTION ARE SUBJECT TO THE BASE PERMIT FEE PLUS 100%PENALTY. <br /> THE FOLLOWING rTEMS REPRESENT HEALTH CODE VIOLATIONS AND MUST BE CORRECTED IN ACCORDANCE <br /> I MAJOR MINQR WITH THE IDENTIFIED TWAE SCHEDULES: <br /> I I <br /> I <br /> ZIF000 Temp, 1 21 1 <br /> Preo(S•rwce 31 41 1 �)oY-��- Sc� �i r0 a !.0 !! [ <br /> Storag•lDisD. 5 61 1 <br /> L) Frozen Food 7 8 bio 2- to Q C4-" s a !� 6 /D O Z QL' rt SQ C <br /> p Pur•Food 9 10 <br /> Q. Reus•a Food 11 12 �lr/!D Z Ar 7�et fe- oL f[7�yl /C:G _r 4r- res <br /> Transoonation 13 114 <br /> Hanowasning 115 116 <br /> Dseas•Trane 17 1181 tt� <br /> y EMD10YOSHabits X19 120 ,f atLelp rrtC74"+all <br /> Z Rooerts 21 122 <br /> Insects 23 1241 -v/N-- <br /> y Animal/Fowl 25 26 \ <br /> _ <br /> Wash./Sant. 27 28 Z 1J�s k u!a l�t�- CQ AEco C.-6 <br /> Z a Equip.Cona. 29 30 <br /> W <br /> dtUten.Cone. 31 32 [ L. f Tr K-� ✓f r�S.t. s�-�C Cu <br /> Storage 33 34 <br /> Storage Fac. 351 136 1 as .�v. Cli�(p✓f ✓HeGf •-L .�r <br /> G ui Refng.units 37r40 <br /> C) <br /> ¢ Tn•nnomater 393 6di 2C ✓c clGS Q i[)CSW Gtrvs ®[��� Hazannous Mat. 41olis 43 �{ � tQ -•� 4d P 02- - <br /> water <br /> 2- - <br /> `( Water 1451 146' <br /> Cross Conn. JA7 1481 © /� 0"g4-au a a, << `� b cc-l6 <br /> 3 <br /> u+ uquia Waste 49 1501 <br /> a R.w+• 51 52 0 d va`7� C-3- Q 4S *-e <br /> 3 Premts•s 53 541. <br /> Lavaton•s 55 56 R <br /> LOU 0O Toilets 57 581' <br /> Dressing Rooms 59 6011 e T t+ dS - aG°! /v-CF e. <br /> N ventilation 61 6211 <br /> L" Floors 631 164; <br /> r <br /> Walls-Ceiling 65 66 <br /> U Janmorlal Fac. 67 168 6 BFc9v�f�(` <br /> I' Q V E .tet rti. et.c OLC.tCt <br /> LL Lighting 169 170 ` � <br /> Clothing-Loner X71 172 /row r Q •iol .0�uC/ v� QCCCGvo-4 ¢+ - <br /> I <br /> � Uwnp Quarters 17'I 174kJ <br /> Signs-Permits 175 I76 <br /> ESTAB. STATUS:(MARK ONE) 4 REINSPECTION DATE: i <br /> 2—aco,_ = 34-35d <br /> I 7' 78 79 8C 6'1 <br /> A E I I G 1 1 A F � P ENVIRONMEINNTAL HEALTH PERMIT AND SERVICE CHARGE FEES ARE REE D B . 1 <br /> I L� �- AUTHORIZED BY SAN JOAQUIN COUNTY ORDANCE.ALL DOCUMENTED r <br /> LEGAL ACTION IMMEDIATE HEALTH VIOLATIONS OR REPEAT VKXATIONS ARE SUBJECT ENVIRO ENT L HE 4CIALIST <br /> 70 A REINSPECTION AND REINSPECTION FEE.ALL UNPAID CHARGES <br /> E` EJ - i ASSOCIATED WITH THE FACILfTY OWNER OF RECORD OR APPLICANT 1 <br /> i-- <br /> jCITAT,on ICLOSURE! nTHEP I SHALL.BE PAID PRIOR TO THE ISSUANCE OF A PERMIT TO OPERATE I GE OF <br /> 13 L_ <br /> PHS-EHD 134(05102) <br />