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" SAN JOAQUIN COdNTY ho! ENVIRONMENTAL HEALTH DEPARTMENT ru= ' 600 E. MAIN STREET,STOCKTON,CA 95202-3029 TELEPHONE:(209)468-3420 FAX. (209)464-0138 WEB:WWW.SJGOV.ORG/EHD FOOD PROGRAM OFFICIAL INSPECTION REPORT ame of Facility: Date: fr j3 /0 X0' tldress: City: Zip code: 96 nerlOperator: Telep Program Eleme t: �3 Pr g •cord: ry Inspection Type: !J 8180 Posted Yes No Permit Posted Yes No/ Re4nspection on or After: IN=In Compliance N/O=Not Observed NIA=Not Applicable COS=Corrected onsite 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. Noncompliance may warrant closure of the food facility �x Z con Demonstration of Knowledge uuu our cos g Supervision our 1. Demonstration of knowledge;food safety certificate 24. Person In Charge is present and performs duties Employee Health and Hygiene Personal Cleanliness Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints No discharge from eyes,nose,or mouth;no open wounds General Food Safety Requirements Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used Preventing Contamination by Hands 27. Food protected from contamination during storage Hands clean and properly washed;proper glove use 28. Washing fruits and vegetables before use XJI Handwashing facilities supplied and accessible 29. Toxic substances property identified,stored,and used Time and Temperature Relationship Food Storage/Display/Service Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled Proper use of time as a public health control 31. Customer self-service food protected;indiv utensils provided Proper cooling methods 32. Food properly labeled and honestly presented 10. Proper cooking time and temperatures Equipment/Utensils I Linens 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean Protection From Contamination 34. Warewashing facilities maintained;test strips available JK 1 12. No re-service of returned food 35. Equipment/utensils approved;installed;clean;good repair 13. Food free from contamination and adulteration 36. Equipment,utensils and linens:storage and use 14. Food contact surface cleaned and sanitized/warewashing procedures 37. Vending machines maintained Food From Approved Source 38. Approved and sufficient ventilation and lighting 15. Food obtained from approved source 9. Thermometers provided,accurate,and easily visible 16. Compliance with shell stock regulations;tags/display 40. Proper use and storage of wiping cloths 17. Compliance with Gulf oyster regulations Physical Facilities Conformance With Approved Procedures 41. Plumbing maintained;proper back flow prevention 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;vemlin-proofing Highly Susceptible Populations Permanent Food Facilities 0. Prohibited foods not offered at high risk facilities 5. Floors,walls and ceiling are maintained and kept clean Water/Hot Water 46. No living or sleeping quarters inside facility 1.Hot and cold potable water available. Compliance and Enforcement Liquid Waste Disposal 47. Signs posted;last inspection report available . Sewagelwastewater property disposed;toilet facility useable 48. Compliance with plan review requirements Vermin 49. Facility operating with a valid health permit 3. No rodents,insects,birds or animals inside facility Impoundment 1. Permit Suspension Received By/Title: H Specialist: Ph P/6 e:y f ?A()? 2 Page 1 W EHD 1623 list pg) an4a 7 .J FOOD PROGRAM OIR