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o.?'•`�`''''N•..c SAN JOAQUIN COUNTY <br /> ETPIRONMENTAL HEALTH DEPARTNiL T <br /> 304 East Weber Avenue, 3rd Floor, Stockton,CA 95202-2708 <br /> \c p 7 Telephone:(209)468-3420 Fax;(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: 1--O 6 <br /> Address: City: 3? <br /> Z zip code: <br /> Owner/Operator: Telephone: 6(17...3 Z <br /> Program Element: Z P ram Record: as- Inspection Type: <br /> SB180 Posted Yes ❑No Permit Posted ❑Yes ❑No Relnspectlon on or After: 16 N A'L <br /> The items marked and/or listed below are violations detailed in the Califomia Health&Safety Code(CHSC),commencing§113700. -Major-is a critical violatio�fitoodj <br /> poses an imminent risk to public health. Unless otherwise specified,violations marked"Major"must be corrected immediately or warrant immediate closure of th <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.o. mim. The marked violations re resent Health&SafctX Code Violations and most be corrected as follows: <br /> Improper holding temperature of potentially <br /> o, haardous food 1 2 A)� <br /> E /V <br /> w Inadequate cooking temperatures/practices 3 4 <br /> c Improper reheating temperatures/practices 5 6 <br /> 0 <br /> a Improper cooling practices 7 8 <br /> Adultuated/Contaminated food 9 10 <br /> m <br /> c Reused/rewmed food 11 12 1 <br /> 9 <br /> o m Cross contamination or improper handling , <br /> S ofFoodfUtensils/ ui ment 13 14 A-e- <br /> c Unapproved food source 15 16 <br /> 0 <br /> tr- Improper thawing of potentially hazardous <br /> f 7 8 <br /> food <br /> III employee/cuts/ashes 19 20 <br /> Z c <br /> V '^ <br /> fLack of proper hand washing procedure 21 22 <br /> m <br /> _ Required sink(s)/dish washing machine <br /> o 559 removed,inoperable,inaccessible 23 24 <br /> ri = Unsanitary Food Facility Conditions- 25 26 7)< <br /> Critical/Non-Critical Area / v <br /> a Hot water not available 27 28 � <br /> u N <br /> a m1Lack of potable water supply 29 30 Zoc168 5 <br /> y(r <br /> 3 e <br /> rn Improper sanitizer concentration/methods/ 31 <br /> testingequipment <br /> 32 <br /> u c <br /> Sewage system failure/back up <br /> m <br /> d4i B No opeableraccessible toilets <br /> y u <br /> Rodent/Cockmach/Other vermin infestation 3713 <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 OFA PERMIT TO OPERATE. <br /> ITEM/LOCATION TEMP ITEM/LOCATION TEMP ITEWLADCATTON TEMP <br /> Food Safety Certification Required: ❑Yes❑No Time In: /pm Time out: am/pm <br /> Certificate Issued By: Date:_/_/_ -Recebred B <br /> Name on Certificate: Ins By: JW <br /> F.HD[102J <br /> ��%'aa See Reverse Side For Additional 1n rmati PageIOf <br />