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or.41'I" o SAN JOAQUIN COUNTY- <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.si4ov.org/ehd <br /> err oar' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Date: <br /> Name of Facility: PU 101 U r h ,. i <br /> Address: + $rj jh S t. city: .Fc Zip Code: c153 C <br /> o ner/Operator: 17 1c.1, _ Telephone: e36- 5OU� <br /> 1[Q V p r -1 Ins ion T e: 0 C � <br /> Program Element: Program Reeord: � ) Z Pmt YP <br /> SBI80 Posted Yes a No Permit Postetl es ❑ No Re-Inspection on or After: <br /> IN=In Compliance WO=Not Observed WA=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 /> violations nose a threat to Dublic health and must be corrected Immediate! . Non-cora llance their warrant closure of the food facility <br /> X 1. Demonstration of knowledge;food safety certificate 4. Person In Charge is present and performs duties <br /> Communicable disease;reporting,restrictions&exclusions Personal cleanliness and heir restraints <br /> No discharge from eyes,nose,or mouth;no open wountls <br /> Proper eating,tasting,drinking,or tobacco use Approved thawing methods used <br /> 7. Food protected from contamination during storage <br /> Hands dean and property 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 /> Proper hot and cold holding temperatures . Food storage;food storage containers labeled <br /> Proper use of time as a public health control 1. Customer self-service food protected;individual utensils providetl <br /> Proper cooling methods 2. Food property labeled and honesty presented <br /> 10. Proper cooking time and temperatures <br /> 11. Proper reheating procedures for hot holding Nonfood contact surfaces clean <br /> 4. Warewashing facilities maintained;test strips available <br /> 12. No re-service of returned food 5. Equipment/utensils approved;installed;clean;good repair jr <br /> 13. Food free from contamination and adulteration 6. Equipment,utensils and linens:storage and use <br /> 14. Food contact surface cleaned and sanitized/warewashing procedures 7. Vending machines maintained <br /> 8. Approved and sufficient ventilation and lighting <br /> 15. Food obtained from approved source 9. Thermometers provided,accurate,and easily visible <br /> ,y 16. Compliance with shell stock regulations;tags/display Proper use and storage of wiping cloths <br /> 17. Compliance with Gulf oyster regulations <br /> 1. Plumbing maintained;proper back flow prevention <br /> k 18. Compliance with HACCP plan or variance condition 2. Garbage and refuse properly disposed <br /> . Toilet facilities clean,supplied,and maintained -Y <br /> ,Y 19. Advisory provided for raw or undercooked food Premises;personalldeaning items;vermin-proofing <br /> 0. Prohibited foods not offered at high risk facilites Floors,walls and ceiling are maintained and kept dean <br /> . No living or sleeping quarters inside facility <br /> .k 1.Hot and cold potable water available. <br /> 7. Signs posted;last inspection report available <br /> k . Sewage/wastewater properly disposed;toilet facility useable 8. Compliance with plan review requirements <br /> 9. Facility operating with a valid health permit <br /> k 3. No rodents,insects,birds or animals inside facility 0. Impoundment <br /> 1. Permit Suspension <br /> Received By/Title: <br /> EH Specialist: L Phone: 1 6 �. 3/6 ef Page 1 of <br /> EHD 1623 list pg) 12J15M FOOD PROGRAM OIR <br />