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F <br /> j� <br /> 0�41t"• .' SAN JOAQUIN COUNT <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> • �4., ; Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.siaov.orglehd <br /> <<FO� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: U / i9I Date: o <br /> Address: LD >�l City: Zip Code: q533(, <br /> Owner/Operator: �� L Telephone:P AA_ _1126 3 <br /> Program Element: Program Record: ' Z&0 Inspection Typ Yu <br /> SB180 Posted A,Yes ❑ o Permit Posted&Yes ❑ No Re-inspection on or Afte : �� 1 <br /> IN=In Compliance N/O=Not Observed NIA=Not Applicable COS=Corrected on-site MAJ=Major Violation OUT=Not in Compliance i <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 immediate!P. Non-compliance may warrant closure of the food facility <br /> us wo r�A = *�� Demoristratron of KnovsrJetf e &�' '�� � airr dos �'• �`�"�� �u ,rarrsran�� "�� � �' �nrr <br /> a <br /> 1 bemonstration of knowledge,food safety certificate 24 Person In Charge is present and performs duties i <br /> Employee# s a�th amend 7 iy ierte ��' erson t Cleanl9ness' v <br /> Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints <br /> 3. _ t,... <br /> No discharge from eyes,nose,or mouth;no open woundsf'a817et8tf Food Safe fi uir_elttentS <br /> }Y, I <br /> , . Proper eating,tasting,drinking,or tobacco use X 6. Approved thawing methods used <br /> u *yg� Preventirig Cpn#atiiznatron.tty Hands' r m -_ 7. Food protected from contamination during storage <br /> Hands clean and properly washed;proper glove use 28. Washing fruits and vegetables before use <br /> Handwashing facilities supplied and accessible 29, Toxic substances properly identified,stored,and used i <br /> - s7imeand'Tem rature Rea#�onshi ��� ge/p <br /> tspiaylS�rvtce <br /> Stora a. <br /> Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled <br /> E <br /> I <br /> Proper use of time as a public health control 31. Customer self-service food protected;individual utensils provided <br /> 3 <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 -.ii 33. Nonfood contact surfaces dean <br /> f ,? .. ,', rotecUon from Gar;tamenatfoia: r a 34. Warewashing facilities maintained;test strips available <br /> y( 12. No re-service of returned food 35. Equipmentlutensils approved:installed;clean;good repair <br /> 13. Food free from contamination and adulteration 36. Equipment,utensils and linens:storage and use <br /> 14. Food contact surface leaned and sanitized/warewashing procedures 7, vending machines maintained <br /> '.af•ood Fran Apirav8d Sourced ,' ;; 38. Approved and sufficient ventilation and lighting <br /> ,4" 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 stofage of wiping cloths <br /> 17 Compliance with Gulf oyster regulations <br /> l scrirites <br /> _ <br /> ` z " anforrfiarice 1Nef3t 1# raveQ ProcedUtes „m g w w 41. Plumbing maintained;proper back flow prevention <br /> II 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 4. Premises;personal/cleaning items;vermin-proofing <br /> W <br /> y�� .. _ i.FegltlY,Stilsceptrhle Populations, .... .;-°°3`r _. v:. i�ermarient 1 cod Facritties <br /> 0. Prohibited toads 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 potab water evadable e Cc t �plrance;'and Enforcement #` ; <br /> _ ..._. <br /> 7. Sign <br /> y , �> ��9urd Y[iaste Orsosal ,a - .� posted;last inspection report available <br /> 2. Sewagelwastewaterpioperly disposed;toilet facility useable 48. Compliance with plan review requirements <br /> - 49. Facility operating wish a valid health permit <br /> L 3. No rodents,insects,birds or animals inside facility p <br /> -, ty 50. Impoundment <br /> 51, Permit Suspension <br /> Received By/Title: <br /> EH Specialist: Phonev>?cx? s� Page 1 of <br /> ,EHD 16-23 (1 st pg) D9 T FOOD PROGRAM 41R <br />