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r '%W SAN JOAQUIN COUNTY <br /> ° ENVII2ONMENTAL HEALTH DEPARTMENT <br /> ` 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> (209)468-3420•Fax:(209)464-0138 • Web:wWvv.co.san­joaquin.ca.us/ehd <br /> <t`aa FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 0e's belf - Date: Q <br /> Address: l7 0 0 AJ 9W q q City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: I b q Program Record: p-7 Inspection Type: . <br /> SB180 Posted Yes ❑No Permit Posted ffYes ❑ No Time In: orr7Time Out C) <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 Ma or sn— The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially <br /> n hazardous food 1 2 <br /> 41 V <br /> E S <br /> FInadequate cooking temperatures/practices 3 4 ,61't- <br /> cImproper reheating temperatures/practices 5 6 �tG <br /> 0 <br /> u. <br /> Improper cooling practices 7 8 <br /> fYI,L ' <br /> Adulturated/Contaminated food 9 10 <br /> 00 <br /> F <br /> Reused/retumed food 11 12 <br /> a <br /> o Cross contamination or improper handling 13 14 <br /> 0 °g x of Food/UlensiWE ui ment <br /> e Unapproved food source 15 16 <br /> 0 <br /> m Improper thawing of potentially hazardous 17 18 <br /> food <br /> Ill employee/cuts/rashes 19 20 t al 8 I <br /> c '1: lack of proper hand washing procedure 21 22 ^v1 <br /> vRequired sink(s)/dish washing machine 23 24 <br /> °o n � removed,inoperable,inaccessible <br /> w S a Unsanitary Food Facility Conditions- 25 26 <br /> CriticalMon-Critical Area <br /> Hot water not available 27 28 <br /> c <br /> d N <br /> lack of potable water supply 29 30 <br /> 3 F <br /> � Improper sanitizer concentration/methods/ <br /> 31 32 <br /> testing equipment <br /> Sewage system failure/back up 33 34 <br /> r+ G <br /> m <br /> 3 ey E No operable/accessible toilet% 35 36 <br /> rr' > Rodent/Ceckmach/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 /> ITEWLOCATION TEMP ITEM/LOCATION TEMP ITEMILOCATION TEMP <br /> Food Safety Certification Required: ❑Yes❑No Reinspection on or A <br /> Certificate Issued By: Date:_/_// By:eivec 0494- <br /> Name on Certificate: H.S.: <br /> Otto is-azon <br /> 9w(o See Reverse Side For Additional Information Pagel of_� <br />