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OG/ �AIVI O FINAL INSPECTION REP <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVI <br /> ENVIRONMENTAL HEALTH DMSION (209)468-3420 <br /> 304 E.WEBER AVE.,P.O. BOX 388,STOCKTON. CA 95201-0388 <br /> DBAMAME TEL( / p► `� /� DATE <br /> ADDRESS (� ` PRI# <br /> OWNEWOPERATOR TEL( I TME N Tt1AE OUT <br /> MAa_ING ADDRESS <br /> v�✓V <br /> PROGRAWEIEMENT � PERMIT# SERVICEy TRANSFER DATE <br /> FOOD FACIIITIES OPERATING WM"IT A VALID PERMIT ARE SUBJECT TO CLOSURE.TRAMSFOM OF OWNERSHIP NOT REPORTED WITHIN THIRTY(30)DAYS FROM THE <br /> RECORDED DATE OF TRANSACTION ARE SUBJECT TO THE BASE PERMIT FEE PLUS t 00%PENALTY. I <br /> THE FOLLOWING ITEMS REPRESENT HEALTH CODE VIOLATIONS AND MUST BE CORRECTED IN ACCORDANCE <br /> WITH THE IDENTIFIED TIME SCHEDULES: <br /> MAJOR I MINOR <br /> I F000 Temp. 1 121 <br /> ZI P ODISSIVICe 31. 4 cL Q <br /> O Storage/Disc. 5 61 1 <br /> Ou Frozen Food 7 181 <br /> 0 Pure Food 9 110 <br /> a Rousso Food 11 112-d 7 <br /> r� ^� <br /> Transportation 13 114 <br /> J Hanowasnmg 15 116 <br /> lI I Disease Trans. 17 118 <br /> w Employee Habits 19 0 ( / A <br /> Z Rooents 21 22 <br /> Insets 23 24 f <br /> > Animal/Fowl 25 261 1 <br /> _ <br /> Wash./Sant. 27 281 1 <br /> Z. a Equip.Cond. 29 30 <br /> � Q Uten.Cond. 31 32 <br /> M W <br /> Storage 33 34 <br /> Storage Fac. 35 X36 <br /> DL) Refrig.Units 37 38 <br /> 0 IM Thermometer 39 140 <br /> u_ l'-O Hazaroous Mat. 41 42 <br /> Spoils 43 (d4 <br /> water 45 46 <br /> 3 I Gross Conn. 47 148 <br /> w uould waste 49 150 <br /> co Refuse 51 152 <br /> 3 Promises 53 1541 <br /> m LAYS10910S 55 56 <br /> w 0 Toilets 57 58 <br /> Q ¢ Dressing Rooms 159 60 <br /> to Ventilation 61 162 <br /> L" Floors 631 164 <br /> Wafts-Coiling 65 1661 <br /> Q Janitorial Fac 167 1681 <br /> LL Lighting 69 170 <br /> I <br /> I Clothing-Linen 171 172 <br /> c(_i I Living Quarters 17, 174 <br /> Signs•Permrts 1751 176 <br /> ESTAB. STATUS: (MARK ONE) REINSPECTION DATE: <br /> 7" 78 79 8C 81 <br /> ^' <br /> EG, Au F 7 P — ENVIRONMENTAL HEALTH PERMIT AND SERVICE CHARGE FEES ARE CEN BY: <br /> � �I � <br /> -� AUTHORIZED BY SAN JOACl11N COUNTY ORDNANCE.ALL DOCUMENTED <br /> ! LEGAL ACTION I IMMEDIATE HEALTH VfOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT N IRONMENTAL H A 1A514 <br /> ' TO A REINSPECTION AND REINSPECTION FEE.ALL UNPAID CHARGES ('+ <br /> �` 83 <br /> � �, + ASSOCIATED WITH THE FACILfTY OWNER OF RECORD OR APPLICANT _ 1 <br /> IC]TATION: ICLOSUREI OTHER! I SHALL BE PAID PRIOR TO THE ISSUANCE OF A PERMff TO OPERATE. I PAGE OF <br /> EH 01 02 PHS 134(9195) <br />