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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0161567
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COMPLIANCE INFO
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Entry Properties
Last modified
11/10/2022 2:09:47 PM
Creation date
12/7/2018 3:54:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0161567
PE
1617
FACILITY_ID
FA0000650
FACILITY_NAME
GAS & SHOP
STREET_NUMBER
1002
STREET_NAME
FRONTAGE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
26102012
CURRENT_STATUS
01
SITE_LOCATION
1002 FRONTAGE RD
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
FilePath
\MIGRATIONS\F\FRONTAGE\1022\PR0161567\COMPLIANCE.PDF
QuestysFileName
COMPLIANCE
QuestysRecordDate
7/8/2015 4:01:34 PM
QuestysRecordID
2743330
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> • cd.,,., ..,.N;P.. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.si ov.org/ehd <br /> �rFOrr <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Ti Nj CV // uC Q Z Date:03- <br /> ddress: /Doz E Fro n4-A Pk4 City: zip Code: <br /> owner/Operator: ig L.4tZ r n 0-i S Telephone: s-013pl- Z11/.2 <br /> Iff <br /> Program Element: /4. /67 Program Record: /� �6 Inspection Type: <br /> SB180 Posted es ❑ No Permit Posted Yes ❑ 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 immediately. Non-compliance may warrant closure of the food facility <br /> 1. Demonstration of knowledge;food safety cert icate 4. Person In Charge is present and performs du8es <br /> Communicable disease;reporting,restrictions&exclusions 125. 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 methotls 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 /> Proper hot and cold holding temperatures 30. 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 2. Food properly labeled and honestly presented <br /> 10. Proper cooking time and temperatures <br /> 11. Proper reheating procedures for hot holding 3. 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 Gean;good repair <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 /> 16. Compliance with shell stock regulations;tags/display O. Proper use and storage of wiping cloths <br /> 17. Compliance with Gulf oyster regulations <br /> 1. Plumbing maintained;proper back flow prevention <br /> 18. Compliance with HACCP plan or variance conditions 2. Garbage and refuse properly disposed <br /> 3. Toilet facilities clean,supplied,and maintained <br /> 19. Advisory provided for raw or undercooked food Premises;personaVcleaning items;vermin-proofing <br /> 0. Prohibited foods not offered at high risk facilities 5. Floors,walls and ceiling are maintained and kept clean <br /> 6. No living or sleeping quarters inside facility <br /> 1.Hot and cold potable water available. <br /> 7. Signs posted;last inspection report available <br /> . Sewage/wastewater properly disposed;toilet facility useable 8. Compliance with plan review requirements <br /> 9. Facility operating with a valid health permit <br /> 3. No rodents,insects,birds or animals inside facility 50. Impoundment <br /> 1. Permit Suspension <br /> Received By/Title: f� G <br /> EH Specialist: Phone:q /%'F G ;7 Page 1 of <br /> EHD 16-23(1st pg) 12/15/09 / ! T FOOD PROGRAM OIR <br /> `1 diti <br />
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