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M FOOD PF"`GRAM OFFICAL INSPECTION rt'-PORT <br /> SAN JC UIN COUNTY PUBLIC HEALTH SE CES <br /> ENVIRONMENTAL HEALTH DIVISION (209)468-3420 <br /> 445 N.SAN,JOAQUIN STREET,P.O.BOX 2009,STOCKTON CA 952DI <br /> DBAMAME £ TEL( �) G DA <br /> I L <br /> ADDRESS I l J r � SWEEPSNUMB <br /> Irl ER <br /> OWNERIOPERATOR (moi( TEL( TRAE 04JT TIME IN <br /> _111,i r" ` 'J <br /> MAILING ADDRESS 2 `� ` <br /> PROGRAWELEMENT SERVICE TRANSFER DATE <br /> FOOD FACILITIES OPERATING WITHOUT A VALID PERMIT ARE SUBJECT TO CLOSURE.TRANSFERS OF OWNERSHIP NOT REPORTED WITHIN THIRTY(30)DAYS FROM THE <br /> RECORDED DATE OF TRANSACTION ARE SUBJECT TO THE BASE PERMIT FEE PLUS 100'x.PENALTY, <br /> THE FOLLOWING ITEMS REPRESENT HEALTH CODE VIOLATIONS AND MUST BE CORRECTED IN ACCORDANCE <br /> WITH THE IDENTIFIED TIME SCHEDULES: <br /> MAJOR MINOR <br /> Foos Temp. 1 2 <br /> Z Prep75ervice 3 4 � L, <br /> 0 Storage I Disp. 5 6 <br /> w _TD U D Frozen Food 7 8 t� ! [ <br /> p Pure Food 9 10 <br /> Cla Reused Food 111121 (. .� ifi 1� 1. �. <br /> Transportation 13 14 <br /> J Handwashin9 15 16 ( �L 1 PIS �r .�= �" ��. f�L` , <br /> a Disease Trans. 17 18 <br /> w Employee Habits 19 20 (�`-� I P r I { !~� <br /> z Rodents 21 22 \ <br /> a Insects 23 24 I� A-- L -3 tO E Li Tl <br /> j Animal/Fowl '� 25 26 <br /> Wash./Sant. 27 28 �� r,. <br /> tZ � Equip.Cond. 29 30 ! <br /> O Uten.Gond. 31 32 q L�l �•I <br /> � w <br /> Storage 33 34 <br /> Storage Fac. 35 36 k T I. L, <br /> o Rettig.Units 37 38 <br /> oa Thermometer 39 40 (r <br /> '_ 0 rHazardous Mat. 41 42 r <br /> Spoils 43 44 f <br /> W water 45 4 <br /> Cross Conn. 47 1481Tlt- 1AMLJ�_ <br /> Uj Liquid waste 49 1501 _ <br /> a Refuse 51 1521 "x. C� C1f C <br /> 3 Premises 53 54 <br /> r 2 Lavatories 5556 i <br /> vJ OToilets 57 58 <br /> Dressing Rooms 59 60 -` <br /> Ventilation 61 62 <br /> w Floors 63 64 <br /> ~ 65 66 <br /> ., wans•celtlnfl ,n+ <br /> Q Janitorial Fac. - 67 68 <br /> LL Uprating 69 70 <br /> Clothing-Linen 71 72 i r '"- <br /> rUn <br /> Uving Quarters 73 74 <br /> Signs-Permits 75 76 VU�� �7 -� <br /> REINSPECTION DATE: <br /> ESTAB. STATUS:(MARK ONE) <br />+ 77 78 79 80 81 RECEIV0 BY: ' <br /> E[] G❑ A❑ F❑ P❑ EPfVIROIiFIENTAL HEALTH PERMTT AND SERVICE CiiARGE FEES ARE <br /> AUTHORIZED BY SAN JOAQUIN COUNTY ORDINANCE.ALL DOCUMENTED <br /> IMMEDIATE HEALTH VIOLATIONS OR REPEAT VIOIAITIONS ARE SUBJECT1�,ENYIR&WEPTTLEGAL ACTION: iB2 83 84 TOA REINSPECTIONAND RElNSPECTFON FEE.ALL LNrPA1D CiIARGES �`., <br /> ASSOCIATED WITH THE FACILFTY OWNER OF RECORD OR APPLICANT P 4G V OF <br /> CITATION❑CLOSURE❑ OTHER❑ SHALL BE PAID PRIOR TO THE ISSUANCE OFAPEFMTTOOPERATE. <br /> EH 01 02 (Rev11M) <br />