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1,r <br /> FOOD it-OGRAM OFFICIAL INSPECTION REPORT <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT(209)468-3420 <br /> 304 E.WEBER AVE.,THIRD FLOOR,STOCKTON,CA 95202 <br /> DBAmAME 0 e ow\ 5 14N'1 TEi I I — l DATE Z 2 510-3 <br /> ADDRESS PRIp <br /> �L 1-1 L0 1' <br /> OWNER/OPERATOR 7UL77 I TIME N TIME OUT <br /> MAKING ADDRESS <br /> PROGRAM/ELEMENT PERMIT p SERVICE TRANSFER DATE <br /> F;.,I,I <br /> FOOD FACILITIES OPERATING WITHOUT A VALID PERMIT ARE SUBJECT TO CLOSURE.TRANSFERS OF OWNERSHP NOT REPORTED WTTHN THIRTY(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 VIOLATIONS AND MIUST SE CORRECTED IN ACCORDANCE <br /> MAJOR MINOR WITH THE IDENTIFIED TIME SCHEDULES: <br /> I <br /> I <br /> ZIFood Temp. 11 1 2 I I r <br /> Preo/Service 31 1 4 -4 �pN-Ff�(_TDr �D l IyILtII2eFI <br /> Storage/Diso. 5 16 <br /> W Frozen Food 7 1 8 w � Ci 1 vl S r + \ A /r to <br /> ~O Pure Food 9 10 <br /> a Reused Food ill 112 A- okice L4j I 4-1 S U vk'P N O Lt- A vt CI <br /> Transoortahon 131 j141 �, <br /> J Hanowasritnq 15 116 j) e� <br /> a+ Disease Trans 117 118 TT <br /> W EmDlovea Habits 119 POH <br /> z Rodents 21 122 y�A <br /> Q Insecta 23 2a Q I T ;7c04 <br /> > Animal/Fowl 25 26 <br /> _ Wask/Sant. 27 28 1 <br /> z a Equip.Cond. 29 30 <br /> ►u'- p Ulen.Cons. 31 132 <br /> Store" 33 34 <br /> t <br /> Storage Fac. 35 136 Pr R t' <br /> o Refrlg.units 37 138 <br /> g ¢ Therrttorneter 39 40 (`j r <br /> u_ Hazardous Mat. 41 42 <br /> Soolts 43 1a4 <br /> Water 45 46 <br /> 3 Cross Conn. 47 148 <br /> uJ uquwd waste 491 50 <br /> Refuse 511 1521GLK <br /> 3 Premises <br /> 531 1541 <br /> c <br /> Lavatories E57 <br /> 56 .1 LL <br /> w 0O Toilets 58 <br /> Q Dressing Rooms 159 1601 <br /> Ventilation 61 162 <br /> L" Floors 63 164 I GC �a W rLLvt L OIAti I(q +n all <br /> Z wells-Csdlnq 65 1661 <br /> Q Januorlal Fac. 67 168 -FG G1 ( \e5 t G G�-1 e H d l <br /> Ligntlnq 169 1701IIf <br /> Clotning•unen 171 172 41 1 `1` Ono <br /> N_ LUv nq Quarters i72 i74 <br /> Signs-Perm-ts 1-751 176 <br /> ESTAB. STATUS' (MARK ONE) RE INSPECTION DATE. <br /> 77 78 79 8C 81 <br /> NEI I G I F I P ENVIRONMENTAL HEALTH PERMIT AND SERVICE CHARGE FEES ARE <br /> A <br /> I LR CENED BY <br /> � .� U L� AUTHORIZED BY SAN JOAQUIN COUNTY ORDINANCE.ALL OOCUfvtENTE C/ <br /> 1 LEGAL ACTION ( IMMEDIATE HEALTH VIOLATIONS OR REPEAT VIOf_ATIONS ARE SUBJECTVIRONMEN AL L P S- <br /> 84 A REINSPECTION AND REINSPECTION FEE.ALL UNPAID CHARGES <br /> E` 63 I ASSOCIATED WITH THE FACILITY OWNER OF RECORD OR APPLICANT <br /> IUTAT,Oi` (CLOSURE! OT.EF SHALL BE PAID PRIOR TO THE ISSUANCE OF A PERMIT TO OPERATE <br /> I PAC-,- 0� I <br /> PHS-EHD 134(05/02) <br />