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,QeaA SAN JOAQUIN COUNI�") <br /> a ENVIRONMENTAL. HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> ci r:o'se <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: LAQ \,k , U a ©ate: 5- 13-15 <br /> Address: r}`, City: Zip Code: 9 5_1z>3 b <br /> Owner/Operattorn Telephone: <br /> Program Element: Ilp'Z Program Record: 5'Z--12 1`0 0 Inspection Type: <br /> 131 So posted Yes 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 /> Ma"ar violations ose a threat#o ublic health and must be corrected immediately. Non-com fiance may warrant closure of the food facility <br /> - <br /> 1= <br /> t. Demonstration of knowledge;food safety certificateME 24. Person In Charge is present and performs duties <br />� <br /> MON. <br /> �"_.. . .e <br /> Ma <br /> ON Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints <br /> . .. <br /> No discharge from eyes,nose,or mouth;no open wounds �.. ;, Qa <br /> Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used <br /> 7. Food protected from contamination during storage <br /> Hands clean and properly washed;proper glove use 28. washing fruits and vegetables before use <br /> w? Handwashing facilities supplied and accessible Y, 29. Toxic substances properly identified,stored,and used <br /> I .A <br /> io_ <br /> i11et a j7Ei# <br /> Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled X <br /> Proper use of time as a public health control 31. Customer self-service food protected;individual utensils provided <br /> f Proper cooling methods X 32. Food properly labeled and honestly presented <br /> i 10. Proper cooking time and temperaturester 'PRI <br /> i <br /> 11, Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean <br /> feCluiil�Ca at,� � 4_ warewashing facilities maintained;test strips available <br /> 12. No re-service of retumed food 35. Equipment/utensils approved;installed;clean;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 37. Vending machines maintained <br /> NU <br /> w ,p m � - F m B. Approved and sufficient ventilation and lighting <br /> lry 15. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible <br /> 1B. Compliance with shell stock regulations;tags/display 40. Proper use and storage of wiping cloths <br /> I <br /> 17, Compliance with Gulf oyster regulations " �s <br /> �- <br /> W <br /> om® ttrri4�1Nithlp ._. ..00 1. Plumbing maintained;-proper back flow prevention <br /> 18. Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed <br /> 3. Toilet facilities clean,supplied,and maintained <br /> 19. Advisory provided for raw or undercooked food 44. Premises;personal/cleaning items;vermin-proofing <br /> IN . Prohibited foods not offered at high risk facilitiesW 5. Floors,walls and ceiling are maintained and kept clean <br /> EV-7,77_7574M E <br /> Vater '',_ Am ;. 6. No living ar sleeping quarters inside facility <br /> 1.Hot and cold potable water available. \ <br /> i <br /> 7.�Signs posted,last inspection report available <br /> Sewage/wastewater properly disposed;toilet facility useable 48. Compliance;with plan review requirements <br /> Verintrt "'°"T- 9. Facility operating with a valid health permit <br /> '123. No rodents,insects,birds or animals inside facility 50. Impoundment <br /> 51, Permit Suspension <br /> Received By/Title:Mau 1142i I &410AI <br /> :H Specialist: Wks Phone: �,�rl Page 1 of <br /> EHa 16-23 (l at pg) 419!12 V� F40p PROGRAM OIR <br />