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V� <br /> -sTPROGRAM OFFICIAL INSPECTION REPO <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DMSION (209)468-3420 <br /> + 304 E.WEBFR AVE.,P.O.BOX 388,STOCKTON,CA 95201-0388 <br /> ` DRAAaAME TEL l ) I DATE k <br /> PRI p <br /> IS4O1 S. +-/2 D ( POS �/L �f0ob216 <br /> OkSWER/OPERATt I TEL 1 I TME IN TME CWT <br /> 5-17E(1/9 6' 2clz�4 sE <br /> P MAILING ADDRESS <br /> PROC�RAI�, ` _ h^iT# SERVICE TRANSFER DATE <br /> G{Q• �C� QAIT <br /> FOOD FACILITIES OPERATNO MIiTNt t ID PERMIT ARE SUBJECT TO CLOSURE.TRANSFERS OF OWNERSHP NOT REPORTED WITHIN THIRTY 00)DAYS FROM THE 1 <br /> RECORDED DATE OF TRANSACTION AJ. ,-UECT TO THE BASE PERMIT FEE PLUS 100%PENALTY. <br /> THE FOLLOWING ITEMS REPRESENT HEALTH CODE VKX ATX M1S AND WIST BE CORRECTED IN ACCORDANCE <br /> WITH THE IDENTIFIED TNdE SCHEDULES: <br /> I MA MINOR <br /> Food Temo. 1 1 2 <br /> Z Prep/Service 3 4 riw�„p�cr r �” #C O <br /> Storage/D, 5 16 <br /> L) Frozen F 7 1 8 C._._ �� t w W P B �d VQ I t Gl ('S � dlnJ S _:_r.�...�._...•.e______ 1 <br /> p Pure Food 9 110 / _,,/ <br /> 0. Reused Food 11 112 G(45- '� "f S�r D o T 7L e r a r«L d r d 10 t <br /> Transportation 131 1141 1 <br /> Handwashing 115 116 �(1hG ✓VIO wK&ea. <br /> SrO� rQ�llQ 1 !�a\T K�G( C h ✓`2 C�..'f�T <br /> Disease 7r s. 17 118 <br /> uj Employ M Iblts 119 120 d, S <br /> Z is 21 X22 / I <br /> 2 In is 23 24 Qn�c� a Sru.u(l ,Qtr-,a �o�Lr... O-f 0,ce (-t- 7-(I&i Ltri:S <br /> > An 'It <br /> 25 26 , T <br /> _ <br /> Was L 27 28 (� v UC al Ct�-`/ 2 C Ci cc .� ✓cry . <br /> Z a Equip.Cond. 29 <br /> 0 Uten.Cond. 31 32 3 A), <br /> Storage 33 134 <br /> Storage Fat. 35 136 (�.(,&OE S r sti S <br /> C) Refuj <br /> rtg Uni4 37 138 <br /> O ¢ The er 39 14A G�2�C Gk t Ge Sv uJtc S G�c_4 t.. tv< o <br /> O <br /> '� Raza Mat. 41142cn <br /> L <br /> SDoita 43 j Ido <br /> Water 45 1461 <br /> ` Cross Conn. 71 1481 <br /> 3 <br /> w could waste 149 150 _ I <br /> to Refuse 51 52 d11. 1 n,t.r.0 r tti cz[r.'F at r., tic 4✓Y+�w ltSe C c c `` <br /> i 3 Promises 53f 154 y <br /> Lavatories X51 156 rn.,,- PIA-a r.t Derr. ttG� �� vC.l <br /> w 0 ToUets 57 L5�� <br /> Dressing R 159 1601 1 6 r w S r Q S G ✓1.�Cr n �r _ t c�S C�0�4� 1 <br /> Ventilation' 61 1621 ^C lc�s <br /> N -f-1 <br /> L" Floors 63 164 j f li .-r.eS T kl^- c vt c.t r•-e I S s •-,e.c &,-fT <br /> 01 <br /> walls-Cede 155 1661 . <br /> Q janitorial Fac. '67 (68 S4--t( /C /l <br /> " Ugnting 9 1701 1 <br /> Clothmg•Lenen 71 172 <br /> �I <br /> _I Uvmg Quarters 172 f 1741 <br /> Signs-Perm) 75j 1761 1 <br /> 1 <br /> ESTAB. STA S, (MARK ONE` -RE INSPECTION DATE: <br /> T 'r -19 E E' <br /> E�I G 1 ^1 F F I ENVIRONMENTAL HEALTH PERMIT AND SERVICE CHARGE FEES ARE fLEE D Y: <br /> —� AUTHORIZED BY SAN.JOAOUIN COUNTY ORDINANCE.ALL DOCUMIENTED <br /> 1 LEGAL ACTION I IMMEDIATE HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT EN RON E -T PE LIS' <br /> TO A REINSPECTION AND REINSPECTION FEE.ALL UNPAID CHARGES <br /> r I ASSOCIATED WITH THE FACILfrY ONWER OF RECORDOR APPLICANT <br /> ICITAT,Oh.-(CLOSURE`—I C,THE;; I SHALL BE PAID PRIORTOTHEISSUANCE OFAPERbRTTOOPERATE. I PAGE / OF j <br /> FH 01 02 PHS 134(9/95) <br />