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° q,uI SAN JOAQUIN COUNTY *40yo <br /> °i ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3d Floor, Stockton,CA 95202-2708 <br /> (209)468-3420•Fax:(209)464-0138• Web:www.co.san-joaquin.ca.us/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ktl r Date: (0114) J5 <br /> Address: to City: A Zip Code: <br /> Omer/Operator: Telephone- r7j <br /> Program Element: w4'—> I Program Record: Q 715�p Inspection Type: e <br /> SB180 Posted ❑Yes 0*4o Permit Posted 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.rc mi.4 UP marked violations represent Health&Safety Code Violations and most be corrected as follows: <br /> Improper holding temperature of potentially 1 2 1, <br /> n hazardous food <br /> E <br /> u Inadequate cooking temperatures/practices 3 4 <br /> F, 1 <br /> e Improper reheating temperatures/practices 5 6 <br /> 0 <br /> w Improper cooling practices 7 8 <br /> Adultumted/Contaminatedfood 9 10 �1- �� Y`tT' IN Q �M lLll01A.S <br /> m <br /> Reused/returned food 11 12 Jt! <br /> v <br /> a a Cross contamination or improper handling 13 14 <br /> of Food/UtensilsEquipment <br /> Ti Unapproved food source 15 16 <br /> 0 <br /> m Improper thawing of potentially hazardous <br /> f 7 19 <br /> food <br /> A, BI employeetcuts/mshes 19 20 <br /> v <br /> Lack of proper hand washing procedure 21 22 <br /> A <br /> v _ Required sink(s)/dish washing machine <br /> 23 24 <br /> o = removed,inoperable,inaccessible <br /> US <br /> Unsanitary Food Facility Conditions- 25 26 <br /> Critical/Non-Critical Area <br /> m Hot water not available 27 28 <br /> F <br /> d N <br /> lack of potable water supply 29 30 <br /> 3 Improper sani[izen concentration/methods/ 31 32 <br /> testin a ui mrnt <br /> Sewage system failure/back up 33 34 <br /> c <br /> m <br /> 3 yy E No operable/accessible toilets 35 36 <br /> > Rodent/Cmicroach/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 /> ITEM/LOCATION TEMP / ITEWLTIONOCATEMP ITEWLOCATION TEMP <br /> Food Safety Certification Required: El Y.>21<0 <br /> Time in: pm Tlme out: I Iv amt In <br /> Certificate Issued By: Date:_/_/_ Received ByAl <br /> Name on Certificate: Inspected <br /> EKD 1"2-02a <br /> 3/17rz0o4 See Reverse Side For Additional Information Pagel of� <br />