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oPaU`_"..reG SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, CA 95202-3029 Telephone:(209) 468-3420 Fax.(209) 464-0138 Web:www.sjaov.orD/ehd �iFoa FOOD PROGRAM OFFICIAL INSPECTION REPORT Name of Facility: ILq Date: Address: I$ 7 S W . t ti S 1. City: 711 c Zip Code: caner/Operator: L Telephone:V�, Foods ? s 1 Program Element: Prograitt Record: 5 y Inspection Type: r, I SB180 Posted ❑Yes No Permit Posted Yes D No Re-Inspection on or After: IN=In Compliance N/O=Not Observed WA=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 pose a threat to public health and must be corrected immediately. Non-compliance may warrant closure of the food facilit IN rno wA Demonstration of Knowledge ma our cos Supervision pro + IL Demonstration of knowledge:food safety certificate 24_ Person In Charge Is present and performs duties Employee Health and Hygiene - Personal Cleanliness 2. Communicable disease; reporting, restrictions 8 exclusions 25. Personal cleanliness and hair restraints 1 13. No discharge from eyes.nose,or mouth;no open wounds General Food Safety Requirements Proper eating,tasting,drinking,or tobacco use y 26, Approved thawing methods used Preventing Contamination by Hands 27. Food protected from contamination during storage S Hands clean and properly washed.proper glove use 28. Washing fruits and vegetables before use X Handwashmg facilities supplied and accessible 29. Toxic substances properly identified stored,and used Time and Temperature Relationship - Food StoragelDisplay/Service Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled X Proper use of time as a public health control 31. Customer self-service food protected:individual utensils provldad ,r Proper cooling methods 32. Food properly labeled and honestly presented 10. Proper cooking time and temperatures Equipment/Utensils/Linens A '11. Proper reheating procedures 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. Equipmentlutensils approved;installed;clean;good repair 13. Food free from contamination and adulteration 6. Equipment,utensils and linens:storage and use 14. Food contact surface cleaned and sanitizechwa rewashing procedures 37. Vending machines maintained Food From Approved Source 38. Approved and sufficient ventilation and li hting 5. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible 16. Compliance with shell stock regulations;tags/display 40. Proper use and storage of wiping cloths ',n. Compliance with Gulf oyster regulations Physical Facilities rz .` 7 Conformance With Approved Procedures 41. Plumbing maintained;proper back flow prevention a 18. Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed Consumer Advisory 43. Toilet facilities clean,supplied,and maintained 19. Advisory provided for raw or undercooked food 44. Premises,personal/cleaning items;vermin-proofing Highly Susceptible Populations Permanent Food Facilities 20. Prohibited foods not offered at high risk facilities 45. Floors,walls and ceiling are maintained and kept clean Water/Hot Water 46. No living or sleeping quarters inside facility 21.Hot and cold potable water available. Compliance and Enforcement Liquid Waste Disposal 47. Signs posted;last inspection report available J( .+ .22. Sewage,wastewater properly disposed:toilet facility useable 48. Compliance with plan review requirements Vermin 49. Facility operating with a valid health permit 123_ No rodents, insects,birds or animals inside facility 50. Impoundment 1. Permit Suspension Received Byfritle: EH Specialist: Phone: / . .J?/��' Page 1 of EHD 16-23(1st pg) 12J15109 (' FOOD PROGRAM OR