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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: 304 East Weber Avenue, 3d Floor, Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:WWWsigov.org/ehd <br /> �C'4tiFOR��P, <br /> �--� FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: ?/9,5 la(Q <br /> Address: City: Zip Code: . <br /> Owner/Operator: Telephone: <br /> Program Element: 64 Program Record: /&d7,6-6 Inspection Type: <br /> SB180 Posted 0 Yes ❑No Permit Posted .2 Yes ❑No Reinspection on or After: <br /> The items marked and/or listed below are violations detailed in the California Health&Safety Code(CHSC),commencing§113700. "Major"is a critical violation that <br /> poses an imminent risk to public health. Unless otherwise specified,violations marked"Major"must be corrected immediately or warrant immediate closure of the food <br /> establishment. "Minor"indicates a violation that does not pose an imminent public health risk,but warrants timely correction as noted. <br /> Critical Risk Factors m.ur tumor The marked violations represent Health&Safety Code Violations and most be co=d as follows: <br /> Improper holding temperature of potentially 1 2 <br /> n hazardous food ' <br /> uInadequate cooking temperatures/practices 3 4 <br /> c Improper reheating tempera ores/practices 5 6 j //{•r�.Y.O` �I <br /> o UnD <br /> LL (�LLEt'K, <br /> Improper cooling practices 7 e <br /> Adulturated/Contaminated food 9 10 <br /> m <br /> e <br /> Reused/returned food 11 12 <br /> 9 - / <br /> o w Cross contamination or improper handling 13 •4) <br /> o S of Food/Utensils ui merit ll <br /> LL <br /> c Unapproved food source 15 16 <br /> 0 <br /> LL Improper thawing of potentially hazardous 17 18 <br /> food <br /> ` �, •; III employee/cuts/rashes 19 20 <br /> u c <br /> i <br /> Lack of proper hand washing procedure 21 22 <br /> n <br /> _ Required sink(s)/dish washing machine <br /> 23 24 <br /> o removed,inoperable,inaccessible <br /> LL S 1i Unsanitary Food Facility Conditions- 25 26 <br /> Critical/Non-Critical Area <br /> m Hot water not available 27 28 <br /> c <br /> N <br /> Al 'L Lack of potable water supply 29 30 <br /> y Improper sanitizer concentration/methods/ 31 32 <br /> testing equipment <br /> Sewage system failure/back up 33 34 <br /> c <br /> m <br /> ENo operable/accessible toilets 35 36 <br /> u <br /> > Rodent/Cockroach/Other vermin infestation 37 38 <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF SAN JOAQUIN COUNTY BOARD OF SUPERVISORS. ALL <br /> DOCUMENTED CRITICAL HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT TO A REINSPECTION AND REINSPECTION FEE. ALL UNPAID CHARGES <br /> ASSOCIATED WITH THE FACILITY OWNER OF RECORD OR APPLICANT SHALL BE PAID PRIOR TO THE ISSUANCE OF A PERMIT TO OPERATE. <br /> LTEM/LOCATION TEMP ITEM/LOCATION TEMP ITEWLOCATION TEMP <br /> Food Safety Certification Required: ❑YesJ�No Time in: ' a Ipm rime out: o a Ipm <br /> Certificate Issued By: // Date:_/ /_ Received By: <br /> Name on Certificate: Inspected By: <br /> EHD 16-023 <br /> v71200e See Reverse Side For Additional Information Pagel of <br />