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`. .� <br /> oPA�IN•.c SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> agcl e. �;P Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: YP 5 IJ A m 4 S 1- C o, Date: I,c7 <br /> ddress: 12 1 " _,'j n S 4_ City: Zip Code: 90 <br /> Owner/Operator: U,f I h )Ce e O Telephone: r 32 - 21 <br /> Program Element: Program Record: /� Inspection Type: 4; <br /> SB180 Posted es ❑ No Permit Posted 4olfas ❑ No Re-Inspection on or After: <br /> IN=In Compliance N/O=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 public health and must be corrected fmmediatet . Mon-compliance may warrant closure ofthe food facil/tv <br /> o s ra t'�On o e <br /> 1. Demonstration of knowledge;food safety certificate 4. Person In Charge is present and performs duties <br /> Communicable disease;reporting,restrictions&exclusions 5. Personal cleanliness and hair restraints <br /> No discharge from eyes,nose,or mouth;no open wounds <br /> Proper eating,tasting,drinking,or tobacco use 6. Approved thawing methods used <br /> 7. Food protected from contamination during storage <br /> Hands clean and properly washed;proper glove use 8. Washing fruits and vegetables before use <br /> Handwashing facilities supplied and accessible 9. Toxic substances properly identified,stored,and used <br /> e c <br /> Proper hot and cold holding temperatures 0. Food storage;food storage containers labeled <br /> Proper use of time as a public health control 31. Customer self-service food protected;individual utensils provided <br /> Proper cooling methods 32. Food properly labeled and honestly presented <br /> 10. Proper cooking time and temperatures <br /> 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean <br /> IWO34. Warewashing facilities maintained;test strips available <br /> 12. No re-service of returned food 5. Equipmentlutensils approved;Installed;clean;good repair <br /> All <br /> 13. Food free from contamination and adulteration 6. Equipment,utensils and linens:storage vv <br /> use <br /> 14. Food contact surface cleaned and sanitized/warewashing procedures 7. Vending machines maintained <br /> od;From.Apprg ed Source " 38. 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;tagsidisplay 40. Proper use and storage of wiping cloths <br /> 7. Compliance with Gulf oyster regulations r <br /> .With Appro zc Procedures 41. Plumbing maintained;proper back flow prevention <br /> 8. Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed <br /> onsumer Advisory 43. Toilet facilities clean,supplied,and maintained <br /> .Advisory provided for raw or undercooked food 4. Premises;personallcleaning items;vermin-proofing <br /> ptible Populations <br /> 0. Prohibited foods not offered at high risk facilities 5. Floors,walls and ceiling are maintained and kept clean <br /> NlMater/Hot Water 6. No living or sleeping quarters inside facility <br /> 1.Hot and cold potable water available. _ <br /> Li uid,Waste Disposal .,,, „ , 7. Signs posted;last inspection report available <br /> . Sewage/wastewater properly disposed toiletfacilityuseable 8. Compliance with plan review requirements <br /> ermin -.,.ia 9. Facility operating with a valid health permit <br /> 3. No rodents,insects,birds or animals inside facility 0. Impoundment <br /> 1. Permit Suspension <br /> Received By/Title: <br /> - Phone: /!/ �6` Pagel of <br /> EH Specialist: <br /> EHO 16-23(isl pg) 4912 �1•v FOOD PROGRAM OIR <br />