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SAN JOAQUIN COUNT,., <br /> r. <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.siaov.orcI/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Famed-dress: City: <br /> of Facility: p \f G1r�(o(✓U Date: <br /> I�J C I � = S f I t-ik zip Code: 95 37b <br /> Owner/Operator: (� <br /> S c. } 2 ui c• Tn L J Telephone: a30-296 d <br /> Program Element: rogram Record: b I Ins ection T e: R <br /> P YP cv`l;n¢ <br /> SB1 BO Posted es No Permit Posted es _. No Re-Inspection on or After: <br /> IN=In Compliance WO=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 /> Ma-or violations ose a threat to public health and must be corrected immediate) . Non-compliance ma warrant closure of the food facilit <br /> N7 wn <br /> In Demonstration of Knowledge nui our cos Supervision our <br /> 1. Demonstration of knowledge;food safety certificate r24. erson In Charge is present and performs duties <br /> Employee Health and Hygiene Personal Cleanliness <br /> Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints <br /> 3. No discharge from eyes,nose,or mouth;no open wounds General Food Safety Requirements <br /> Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used <br /> Preventing Centeminatlon by 7. Food protected from contamination during storage <br /> Hands clean and properly washed;proper glove use 8. Washing fruits and vegetables before use <br /> ;Fmd <br /> washing facilities supplied and accessible 29. Toxic substances properly identified,stored,and used <br /> Food Storage/Display/Sial <br /> r hot and cold holding temperatures 30. Food storage;food storage containers labeled <br /> r use of time as a public health control 1. Customer self-service food protected;individual utensils provided <br /> r cooling methods 2. Food properly labeled and honestly presented IN <br /> r cooking time and temperatures nt/Utensils/U <br /> r reheating procedures for hot holding 3. Nonfood contact surfaces clean <br /> Protection, on 4. Warewashing facilities maintained;test strips available <br /> -service of returned food 35. Equipment/utensils approved;installed;clean;good repairfree from contamination and adulteration 36. Equipment,utensils and linens:storage antl use <br /> contact surface cleaned and sanitized/warewashing procedures 37. Vending machines maintained <br /> Food From Approved$p" 38. Approved and sufficient ventilation and lighting <br /> 15. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible <br /> 16. Compliance with shell stock regulations;tags/display 40. Proper use and storage of wiping cloths <br /> 17. Compliance with Gulf oyster regulations ' <br /> Conformance With Approved Procedures 41. Plumbing maintained;proper back flow prevention <br /> ie. Compliance with HACCP plan or variance conditions 42, Garbage and refuse properly disposed <br /> Consumer Advisory 43. Toilet facilities clean,supplied,and maintained <br /> 19. Advisory provided for raw or undercooked food 44. Premises;personal/cleaning items;vermin-proofing <br /> Highly Susceptible Populations " Permanent <br /> . Prohibited foods not offered at high risk facilities 45. Floors,walls and ceiling are maintained and kept dean <br /> Water/Hot Water 46. No living or sleeping quarters inside facility <br /> 1.Hot and cold potable water available. Compliance and Enforcement <br /> Liquid Waste Disposal 47. Signs posted;last inspection report available <br /> 2. Sewage/wastewater properly disposed;toilet facility useable 48. Compliance with plan review requirements <br /> Vermin w 49. Facility operating with a valid health permit <br /> 3. No rodents,insects,birds or animals inside facility 0. Impoundment <br /> 51. Permit Suspension <br /> Received Byrnitle: STd/1F <br /> EH Specialist: Phone: f Page 1 of MO <br /> EHD 16-23 fill 111an2 FOOD PROGRAM OF <br />