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FOOD i- GRAM OFFICIAIL INSPECTION REPORT <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT(209)468-3420 <br /> 304 E.WEBER AVE.,THIRD FLOOR,STOCKTON,CA 952022 <br /> DBAA/AME TEL( ! `%�pG DATE <br /> ADDRESS / PRI N <br /> J �1� <br /> OWNER/OPERATOR TEL 1 I TIME IN TIME OUT <br /> r <br /> MAILING ADDRESS '0 G I�I7L <br /> PRDORA A&LEMENT PERMIT K SFRVCE TRANSFER DATE <br /> 14Itt <br /> FOOD FACIJTIES OPERATING WITHOUT A VALID PERMIT ARE SUBJECT TO CLOSLAPtE.TRANSFE.RS OF OYVNERSHP NOT REPORTED WITHIN THIRTY=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 MUST OF CORRECTED IN ACCORDANCE <br /> MAJOR MINOR <br /> WITH THE IDENTIFIED TIME SCHEDULES: <br /> I I I <br /> I <br /> Il F000 Temp. 11 121 <br /> Z I Prep iService 3 1 4 1 1 LL^CL 11 11 61 JC,rvL4J <br /> q I ° - <br /> pStorage/Olso. 5 1 6 J <br /> J <br /> W Frozen Food 7 1 8 t)V a1 ,2. I 1-C Ga:S{ 1 I c <br /> b Pure Food 9 10 <br /> a Reused Food 11 112 ^{ c- ' I <br /> Transportation 13 114 <br /> J Manowashing 15 116 A' tij . iAIAi < I (VMQ <br /> Disease Trans (17 118 <br /> >y Employes Habits 19 0 A q 1 C 1 ° C <br /> ZRodents 21 122 1 <br /> 2 Insects 23 24 - A ti L Lti)GL'S <br /> > Animal/Fowl 251 26 > > <br /> _ Wasn.lSant. 27 28 _ ( ' r, i r <br /> Z Equip.Cana. 29 30 <br /> 0 t7 utas.Cons. 31 P21I LLu <br /> storage 33 34 <br /> Storage Fac. 35 136 S x(1"1 1, b f?y -11i batlk 1 !L <br /> uJ Retrlg.units37 I38 / SS <br /> Scc Thermometer 39 40 CLcC. <br /> u. Or- Hazardous Mat. 41 42 <br /> Spools 43 1 _ VA'Af ] <br /> 44 7 -V J I I �L I X rr t cry J <br /> IWater 45 46 <br /> cross Conn. 47 1481 1 W C4 11 P l} <br /> i++ Liquid Waste 49 150 <br /> Q Refuse 51 52 r[ <br /> 3 Premraes 53 1541 1 / <br /> Lavatorles 55 56 _ Y%lam'^ Q S l7 ��✓ '� tY1 C10-A <br /> N 0 Toilets 57 1581 <br /> CC Dressing Rooms 159 160in <br /> Ventilation 61 1621 <br /> L" Floors 631 1641 1 <br /> I •- <br /> Walls•ceuing 1651 166 _ <br /> Janitorial Fac. 1671 168 ti u1C J&UL ( w 4 3i <br /> U- Lighting 69 170 <br /> I Clotnmg•l�nen 171 172 jC <br /> � I <br /> N ILivinG Quarters 1721 174 <br /> signs-Permits 1751 176 ��✓� L. - - �f ` <br /> IESTAS. STATUS:(MARK ONE) RE E ION E i <br /> f 77 78 79 BC 21 <br /> 1 <br /> EG! H AL L�J I F 711 P I—I � ENVIRCNJMENTAL HEALTH PERMIT AND SERVICE CHARGE FEES ARE D Y <br /> L� I <br /> I �� t— — AUTHORIZED BY SAN JOAQUIN COUNTY ORD#LXNCE.ALL DOCUAENTE <br /> 1 LEGAL ACTION I IMMEDIATE HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECNVIRONM NTA LALTHI SPECIALIST <br /> 1 TO A REINSPECTION AND REINSPECTION FEE.ALL UNPAID CHARGES <br /> E` 83 —� I 7-1 ASSOCIATED WITH THE FACILITY OWNER OF RECORD OR APPLICANT ?� { <br /> ICITAT,OW ICLOSURE! i OTHEF 1 SHALL BE PAID PRIOR TO THE ISSUANCE OF A PERMIT TO OPE RATE PAG- ' OF <br /> AFDC-I7114n I AA tn4;/071 <br />