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SAN JOAQUIN COUNTY <br /> > .moi••.oma <br /> EN1rttONMENTAL HEALTH DEPARTMv�IQT <br /> 304 East Weber Avenue, 3"Floor, Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/chd <br /> c.. <br /> ikoR�` <br /> FOOD P OGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: —c) <br /> Address: City: Zip Code: 45-376 <br /> Owner/Operator: Telephone. ZO`j Z g Z <br /> Program Element: ( Program Record: 0 O Inspection Type: IiU4-1— <br /> SB180 Posted ❑Yes ❑No 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 a.., vu— The marked violations tepresent Health&SaIcty Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially 1 2 (,� <br /> y hazardous food <br /> vInadequate cooking temperatures/practices 3 4 <br /> cImproper reheating temperatures/practices 5 6 <br /> o J% <br /> w <br /> Improper cooling practices 7 8 <br /> Adulturated/Comaminated rood 9 10 <br /> m <br /> c ` <br /> Reused/rewmed food 11 12 <br /> v <br /> c m Cross contamination or improper handling ( 1 <br /> o � = of Food/Utensils/Equipment 13 14 eV.� /Il d4Jlfti/ [v-vt..�.f.(�w0-�✓ <br /> 4 <br /> o Unapproved food source 15 16 �. <br /> 0 <br /> a Improper thawing of potentially hazardous <br /> food 17 18 <br /> al .: 111 employee/cuts/rashes 19 20 <br /> V C <br /> N o �2os' <br /> 'e 'zi 2 Lack of proper hand washing procedure 21 22 d I <br /> m <br /> oRequired sink(s)/dish was machine 23 24 J <br /> o - removed,inoperable,inaccessible <br /> Unsanitary Food Facility Conditions- 25 26 <br /> Critical/Non-Critical Area <br /> w Hot water not available 27 28 <br /> O_ <br /> V <br /> dt Lack of potable water supply 29 30 el , <br /> 3 <br /> Improper sanitizer concentration methods/ <br /> testin equipment <br /> 31 32 <br /> Sewage system failure/back up 33 34 <br /> u c <br /> m <br /> 3 E No operableiticcessibic toilets 35 36 <br /> v <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 /> IkIM/LOCATIO TEPIP ITEM/LOCATION TEMP ITEWLOCATION TEMP <br /> mQh <ctiOvI - f% (AYA4& 5° <br /> Food Safety Certification Required: ❑Yes❑No Time in: Z no out: am/pm <br /> Certificate Issued By: Date:_/_I Recely d B <br /> Name on Certificate: Inspected By: <br /> DID 16023 <br /> 371200a See Reverse Side For Additional Inf r tion Page l of <br />