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<br /> Qga�ttfy s '` SAN JOAQUIN COUNTY
<br /> a ENVIRONMENTAL HEALTH DEPARTMENT
<br /> 600 East Main Street, Stockton, CA 95202-3029 ,
<br /> c�- �a• Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.s' Oy.or Iehd
<br /> ¢LrpiiR� '
<br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT
<br /> Date l
<br /> F
<br /> of Facility: !f{ 1' ; Cit � Zip Code: 5ss: /tJI�CrLC y I)edTelephone: 831-8 7or
<br /> lOperator: 56 FQfPro ram Record: Inspection Type: d4T-Adf
<br /> rogram Element: 1 O 4 9
<br /> 8180 Posted)(J Yes C No Permit Posted Yes E No Re-inspection on or After:
<br /> Vma,oj,l
<br /> N=In Compliance N/O=Not Observed NIA=Not Applicable COS=Corrected on-site MAJ=Major Violation OUT=Not in Compliance !i
<br /> See reverse side for code sections and general requirements that correspond to each violation listed below. ,
<br /> violations ose a threat fo ublic health and must tre corrected immediate! . Non-com fiance ma warrant closure of the food foci!'�* :,,wADemon'sbation of Knowledge � �,. :� ;:""" arrcos kj : �,,• $upervlsian1. Demonstration of knowledge;food safety certificate ,;`. 4- Person In Charge is present and performs duties
<br /> t :., �y personal Cleanliness
<br /> ti mplojree liealiat"_l�ienf�*` ',,,..
<br /> Communicable disease;reporting,restrictions&exclusions' ;'_ 5. Personal cleanliness and hair restraints
<br /> No discharge from eyes,nose,or mouth;no open wounds ' "' ` ^`#,• '.:,General Food Safety'Requirements
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<br /> Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used
<br /> ss�;Cotitainiriation,by,HaWk. 7. Food protected from contamination during storage
<br /> 8. Washing fruits and vegetables before use
<br /> Hands clean and properly washed;proper glove use 9 9
<br /> X , Handwashing facilities supplied and accessible .r 9. Toxic substances properly identfied,stored,and used
<br /> . - .` Tfit a an[3 lempe�aYuro ;Food StoragelDisplaylService.. _ W
<br /> Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled
<br /> K Proper use of time as a public health control 1 Customer
<br /> -sell-ser ice food protected;individual utensils
<br /> jC Proper cooling methods 2. Food properly labeled and honestly presented
<br /> 10. Proper cooking time and temperatures ;"*; �►. "1' 'LRS`, :",:Equipment l'Utensils l Liner's =
<br /> 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean
<br /> protectian.Fro'rt 34. warewashing facilities maintained;test strips available
<br /> 12. No re service of returned food '? 35. Equipment/utensils approved;installed;clean;good repair
<br /> ""„` 36. Equipment,utensils and linens:storage 13- f=ood free from contamination and adulteration �:.���,, P and use
<br /> )( 14. Food contact surface cleaned and sanitizedlwarewashing procedures 37. Vending machines maintained
<br /> �.T.
<br /> Food,FhofnA�iprovs3dSiyurCe: r';w rw:: ..". d 38. Approved and sufficient ventilation and lighting
<br /> x 15. Food obtained from approved source ,3. 9. Thermometers provided,accurate,and easily visible
<br /> 16. Compliance with shell stock regulations;tags/display. 40. Proper use and storage of wiping cloths
<br /> �.,t. a's<: Pttys!cal Facilities, .
<br /> ' X 17. compliance with Gulf oyster regulations � ,a'�i? ` � �Ya,-.- `�= -
<br /> ,'- ..
<br /> ;COnforrrtanCe W;tli :prlOCedures- �`;, ,R' kF t. Plumbing maintained;proper back flow prevention
<br /> 18. pproved
<br /> Compliance with HACCP plan or variance conditions 42, Garbage and refuse properly disposed
<br /> ¢ f Ca-li4ret Adv sorjf_ ,t`:,„, F 4' a� ;, y,�L :^ 3. Toilet facilities clean,supplied,and maintained
<br /> 19, Advisory provided for raw or undercooked food 44. Premises;personal/cleaning items;vermin-proofing
<br /> ' liigltly SiisCeptitrle Populations Permanent Food Facilities
<br /> : 0. Prohibited foods not offered at high risk facilities 45. Floors,walls and ceiling are maintained and kept clean
<br /> ti IlYater!Hot Wats- ,. "' ," ' _"T r`' �_ 6. No living or sleeping quarters inside facility
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<br /> t.Hot and cold potable water available. Cdrnplianee arid Enforcement., ' V
<br /> Liquid Wi 47. Signs pasted;last inspection report available
<br /> �( 2. Sewage/wastewater properly disposed;toilet facility usea 48, Compliance with plan review requirements
<br /> Vermin - "^; ' 9- Facility operating with a valid health permit
<br /> 3. No rodents,insects,birds or animals inside facility 50. Impoundment
<br /> 51. Permit Suspension
<br /> Received By/Title:
<br /> EH Specialist: Phone: 1168!� y.� Page 1 of�
<br /> EHD 16-23(1st pg) 7129109 FQGO PROGRAM OR
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