Laserfiche WebLink
FOOv YROGRAM OFFICIAL INSPECTION REPORT <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT(209)468-3420 <br /> ^� 304 E.WEBER/AV7E.,THIRD FLOOR,STOCKTON,CA 95202 <br /> AAI <br /> DBAME • � � � /� TEL l 1 G��J -" IO.S•SS �� `�% <br /> ADDRESS PRI"'Sf <br /> OWNER/OPERATOR j I TEL( 1 TIME N TIME OUT <br /> MAILING ADDRESS <br /> PROGRAM/ELEMENT ^ PERMIT N SERVICE TRANSFER DATE <br /> FOOD FACILITIES OPERATING WWM40UT A VALID PERMIT ARE SUBJECT TO CLOSURE.TRANSFERS OF OWNERSHIP NOT REPORTED WITHIN THIRTY=DAYS FROM THE <br /> RECORDED DATE OF TRANSACTION ARE SUBJECT TO THE BASE PERMIT FEE PLUS IOD%PENALTY. <br /> i THE FOLLOWING ITEMS REPRESENT HEALTH CODE VIOLATIONS AND MUST BE CORRECTED IN ACCORDANCE <br /> I MAJOR I MINOR I <br /> WITH THE IDENTIFIED TIME SCHEDULES: <br /> t <br /> Foos Temp. 11 1 2 <br /> Z Preo/Service 31 1 41 1 <br /> O Storage/Diso. 5 1 61 1 <br /> WFrozen Food a78 <br /> 0 Pure Food cc <br /> cL Reusso Food l Transportation <br /> J Henowasning 1151 116 <br /> Disease Trans 171 1181 1 �j <br /> W Employee Habits 19 01 1 , J�' Q/?? 12. <br /> Z_ Rooents 1211 1221 1 <br /> Insects 23 24 ��4-r Q- <br /> > Animal/Fowl 25 1261 <br /> _ wasn.16ant. 27 128 <br /> Z a Eouip.Cond. 29 30 <br /> 1- o uten.Cpnd. 31 32 �1�iOU1 ✓ . % fs 0re,17 . <br /> n W <br /> slam" 33 34 <br /> Storage Fac. 35 136 <br /> Uj <br /> c Retrtg units 37 38 <br /> gcc Thermometer 39 40 <br /> i` �O Hazardous Mat. 41 42 <br /> co Spoils 43 144 -C et0 <br /> water 45 146 / / z <br /> I ; <br /> Cross Conn. 47 148 I l/-Q_ ` <br /> i++ Liquid waste 49 150 <br /> a Refuse 51 521 1 <br /> 3 Promises 53 54 <br /> F ell— <br /> Lavatories 55 56 �Jr� <br /> W0Tolleta 5 <br /> O 7 1581 <br /> CC ¢ Dressing Rooms 159 1601 <br /> rn venuiauon 61 162 � <br /> W61-) <br /> � <br /> Floors 63 164 <br /> n walls-Ceiling 165 1661 <br /> Q Janitorial Fac. 67 168 <br /> U. Lighting 169 1701 j <br /> I Clothing-Linen 171 172 <br /> N ILiving Ouarlers 7' 174 <br /> Signs-Permits 175 176 <br /> ESTAS. STATUS' (MARK ONE) RE INSPECTION DATE: I <br /> 77 78 79 8r e' <br /> EI I G! A F I PI <br /> ENVIRONMENTAL HEALTH PERMIT AND SERVICE CHARGE FEES ARE C <br /> L� U J AUTHORIZED BY SAN JOAOUIN COUNTY ORDMrM10E.ALL DOCUMENT <br /> LEGAL ACTION ( IMMEDIATE HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT ENVIRONMENTAL TH SPECIALIST <br /> 5< TO A REINSPECTION AND REINSPECTION FEE.ALL UNPAID CHARGES <br /> EL �E—y <br /> - I ASSOCIATED WITH THE FAC ILY OWNER OF RECORD OR APPLICANT <br /> IGTAT,01; ICLOSUREI ITI OTHER 1 SHALL BE PAID PRIOR TO THE ISSUANCE OF A PE RANT TO OPERATE I PAGE l OF / <br /> PHS-EHD 134(05/02) <br />