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)1..- <br />-ib.,e)itrPROGRAM OFFICIAL INSPECTION REPOn. <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION (209) 468-3420 <br />304 E. WEBER AVE., THIRD FLOOR, STOCKTON, CA 95202 <br />(*AMALIE 'I It TEL ( ) <br />DAThe7 -i —Ct <br />9 9 . <br />ICI N "1-f-0-1-•-N\ 16 • PRI # <br />OWNE - • - RATOR TEL( 1 TNE IN TIME OUT <br />MAJUNG ADDRESS <br />PROGRAWEJ_ELIENT1 512 ( / PERMIT # <br />eS2"PrtAii <br />TRANSFER DATE <br />FOOD FACILITIES OPERATNO WITHOUT A VALID PERMIT ARE SUBJECT TO CLOSURE. TISFERS CF OWNERSHIP NOT REPORTED INITHN THIRTY GO) DAYS FROM THE <br />RECORDED DATE OF TRANSACTION ARE SUBJECT TO THE BASE PERMIT FEE PUB 100% PENALTY. <br />MAJOR MINOR <br />THE FOLLOWING ITEMS REPRESENT HEALTH CODE VIOLATIONS AND MUST BE CORRECTED IN ACCORDANCE <br />WITH THE IDENTIFIED TIME SCHEDULES: <br />Food Temp. 1 2 -1n) zPrep rv iSisice 5 4 IAA40>19a14 CV) e* .014101 Li6A -c6 (e(1161 k 0c <br />L_ ,. •- stotaott i Dim <br />3,, <br />6 , <br />(-) Frozen Food 7 8 <br />Pure Food 10 <br />0. Reusoo Food 1 12 <br />e.---4,4"vamA. <br />IAA/ ' ' 14 nsoonat ion <br />_s 11 • wasning 5 16 <br />ca. m Die se Trans. 17 18 ,,7\ <br />LAJ Empt IN Habits 19 20 IV TVK1 YVUkr— LC-61a-- <br />g...4. 4,--)(iilib0. VERMIN' Roden 21 22 <br />I nsacts 23 24 c VAA lallnie___ VY\ i SS 11 vii J c t :4' ( - Tet-Wch A CA/C1( ) <br />Animal/ • i 25 26 UTEN / EQUIP. Wash. I - t. 27 28 ' Vat r c (Ap.e.,e.. 114;1, . 12cetitm- 1 i 0 D. <br />win <br />Equip. co • 29 30 . . <br />Uten. Cond. 31 32 L -V'''4 Y1d0C-4A--- / , 6 ._ onnwLviii 10 'Kai— <br />Storage 33 34 4 FOOD STORAGE Storage Fat 35 36 r)te & a- <br />ReIng. Unl 37 38 , <br />Thermome er 39 40 C..2 +1141 Ea& iiinthe # T(19GILIAJ- <br />Hazards:1u mat. 41 42 <br />Spoils 43 44 <br /> <br />,... Water 45 46 <br />i Cross nn. 7 48 WASTE I Liquid sate 9 50 I <br />Refuse 5 52 I <br />Promo 53 54 <br />uivat• fos 55 56 <br />1 (/) 0 UJ 0 Toilet 57 58 <br />cr cr Dres ing Rooms 59 60 14 .1r.5 <br />77VAA j <br /> ,tc.5v,ci--t-;_elo uv\----)\( D FACILITIES Vent anion 61 2 <br />Fl • • 63 4 <br />Wal -Coiling 65 6 • <br />Jani °nal Fac. 67 <br />Lip ing 69 70 K <br />72N Clot ing-Linen 71 b (.f) ow g Quarters 72 174 <br />1 Sig s•Permits 175 176 <br />ESTAB. Sl'ATuS: (MARK ONE) REIN • PECTION DATE. <br />77 78 79 <br />E Li G 7 A L— <br />8C 81 <br />P 7 P '111 <br />ENVIRONMENTAL HEALTH PERMIT AND SERVICE CHARGE FEES ARE <br />AUTHORIZED BY SAN JOAQUIN COUNTY ORDINANCE. ALL DOCUMENTED <br />E•! f. N D <br />LEGAL ACTION <br />82 83 84 <br />--: <br />IMMEDIATE HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT <br />TO A REINSPECTION AND RE INSPECTION FEE. ALL UNPAID CHARGES <br />ASSOCIATED WITH THE FACILITY OWNER OF RECORD OR APPLICANT <br />ENVIR b MENTAL HEALT EC LIST <br />61 r , 1 <br />I cr -rAT,on ; IcLos..E7 _ OT ME F , , _ SHALL BE PAID PRIOR TO THE ISSUANCE OF A PERMIT TO OPERATE. PAGE F <br />-----T <br />EH 01 02 PHS 134 (9/95)