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SAN JOAQUIN COUN- >q i ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95205-6232 °{�iFb.R;ca Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:Www.sigov.org/ehd FOOD PROGRAM OFFICIAL INSPECTION REPORT Name of Facility: Date: 5-074, -fes Address: 6 G Z W A "70 L-}- City: 6LU `r-�n Zip Code: 153-07 57 Owner/Operator: Le �; � TTelephone: LI-IILJ-1677r7 Program Element: Program Record: P O 14 d 4 Inspection Type: Zp k 8180 Posted es No Permit Posted Yes No Re-Inspection on or After: ;5 IN=In Compliance N/O=Not Observed N/A=Not Applicable COS=Corrected on-site MAJ=Major Violation OUT=Not in Compliance See reverse side for code sections and general requirements that correspond to each violation listed below. Major violations ose a threat to ublic health and must be corrected immediatel . Non-com liance mi warrant closure o/the food facilit 1. Demonstration of knowledge;food safety certificate ✓ 4. Person In Charge is present and performs duties _ ::. .. ... Co7dis�chargefrom isease;reporting,restrictions&exclusions 5. Personal cleanliness and hair restraints No m eyes,nose,or mouth;no open woundsProsting,drinking,or tobacco use 6Approved thawing methods used Food protected from contamination during storage 5. Haproperly washed;proper glove use 8. Washing fruits and vegetables before use Hailities supplied and accessible 29. Toxic substances properly identified,stored,and used Time and Temperature Relationship " Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled Propgr s a public health control 31. Customer self-service food protected;individual utensils provided Propods 32. Food properly labeled and honestly presented 10. Propand temperatures Equipment/Utensils/Linens ' 11. Propcetlures for hot holding 33- Nonfood contact surfaces clean Protection From Contamination : 34. Warewashing facilities maintained;test strips available 12. No re service of returned food 35. Equipment/utensils approved;installed;clean;good repair _ 113. Food free from contamination and adulteration 36. Equipment,utensils and linens:storage and use X114. Food comacl surface cleaned and sanitized/warewashing procedures 37. Vending machines maintained Food From Arpprov 38. Approved and sufficient ventilation and lighting 15. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible Gim. Compliance with shell stock regulations;tags/display 40. Proper use and storage of wiping cloths . Compliance with Gulf oyster regulations Physical Facilities Conformance With Approved Procedures 41. Plumbing maintained.proper back flow prevention . Compliance with HACCP plan or variance conditions 42. Garbage and refuse property disposed Consumer Advisory (( 43. Toilet facilities clean,supplied,and maintained . Advisory provided for raw or undercooked food 44. Premises:personal/cleaning Items,vermin proofing €:Highly Susceptible Populations Permanent Food Facilities . Prohibited foods not offered at high risk faciGhes 46. Floorswalls and ceiling are maintained and kept clean Water I Hot Water : 46. No living or sleeping quarters inside facility 1.Hot and cold potable water available- Compliance and Enforcement Liquid Waste Disposal 47. Signs posted;last inspection report available 2. Sewage wastewater properly disposed:toilet facility useable 8. Compliance with plan review requirements Vermin 9. Facility operating with a valid health permit ! 3. No rodents, insects,birds or animals inside facility 0. Impoundment 51. Permit Suspension Received By/Title: EH Specialist: • hA-X- 1"Cl Phone: ,76- ,� Page 1 of Z EHD 16-23 (1 st pg) 419112 o FOOD PROGRAM OR