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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �dGii=a,}i+�p Telephone: (209)468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 7 Date: <br /> ddress: ! 0.1 amt� W City; cSTU l U Zip Code: <br /> Owner/Operator: Telephone: <br /> 'V&3-2dO i <br /> Program Element: Program Record: A /&08 Inspection Type:- <br /> illo Posted 9-Yes ❑ No Permit Posted ILYes ❑No Re-Inspection on or After: <br /> IN=In Compliance N10=Not Observed N/A=Not Applicable COS=Corrected on-site MAJ=Major Violation OUT=Not in Compliance <br /> See reverse side for code sections and general requirements that correspond to each violation listed below. <br /> Major violations pose a threat to eublic health and must be corrected immediately. Non-cam ►lance may warrant closure of the food facilityJ <br /> �/ 1. Demonstration of knowledge;food safety certificate 4. Person in Charge is present and performs duties <br /> 'He .I y feta NonaIE <br /> ✓ Communicable disease;reporting,restrictions&exclusions 5. Personal cleanliness and hair restraints <br /> a..� <br /> ,i No discharge from eyes,nose,or mouth;no open wounds <br /> Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used <br /> ventlg:.. t5ri b}',$t1dt3; 7. Food protected from contamination during storage <br /> / Hands clean and properly washed;proper glove use 28. Washing fruits and vegetables before use <br /> ./ Handwashing facilities supplied and accessible 29. Toxic substances properly identified,stored,and used <br /> `flme: -Tem , ra Q ', F,aod�toira�el�.ffiplayl�ery i•,tq - <br /> Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled <br /> Proper use of time as a public health control Ti. Customer self-service food protected;individual utensils <br /> ✓ rovided <br /> r Proper cooling methods 32. Food property labeled and honestly presented j <br /> 10. Proper cooking time and temperatures Equi `"nt'i Utsn. 1 1= nsa 1 <br /> 11. Proper reheating procedures for hot holding $3. Nonfood contact surfaces clean <br /> }ptsCis <br /> ,p. �1 34. Warewashing facilities maintained;test strips available <br /> 12. No re-service of returned food 35. Equipmentlutensils approved;installed;clean;good repair ✓ <br /> 13. Food free from contamination and adulteration 36, Equipment,utensils and linens:storage and use <br /> ✓ 14. Food contact surface cleaned and sanitizedlwarewashing procedures 37. Vending machines maintained <br /> rp <br /> 8. Approved and sufficient ventilation and lighting <br /> ✓ 15. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible <br /> 6. Compliance with shell stock regulations;tagsldisplay 40. Proper use and storage of wiping cloths <br /> 7. Compliance with Gulf oyster regulations <br /> 1. Plumbing maintained;proper back flow prevention <br /> 18. Compliance with HACCP plan or variance conditions 42, Garbage and refuse properly disposed <br /> 8 ,,a 43. Toilet facilities clean,supplied,and maintained <br /> 9. Advisory provided for raw or undercooked food 44. Premises;personal/cleaning items;vermin-proofing <br /> Rt <br /> IMT <br /> bit o ul,�to 1�, aid I.� <br /> 0. Prohibited foods not offered at high risk facilities 45, Floors,walls and ceiling are maintained and kep=clean --- <br /> 6. No living or sleeping quarters inside facility <br /> 1.Hot and cold potable water available. pll, r1f e. <br /> it�uid W, tB i3, 7. Signs posted;last inspection report available <br /> QVV13. <br /> 2. Sewage/wastewater properly disposed;toilet facility useable 8. Compliance with plan review requirements <br /> �Ve ,In 9. Facility operating with a valid health permit <br /> No rodents,insects,Yrd5,6animals inside facility 50. Impoundment <br /> 1. Permit Suspension <br /> Received BylTitle: c�> r <br /> EH Specialist: C•r� Phone: _ Page 1 of Z <br /> EHD 16-23 (1 st pg) 12!15!09 FOOD PROGRAM OR <br /> 3 <br />