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� � I <br /> h <br /> SAN JOAQUIN COUNTY j <br /> �:-�•.-oma <br /> W . 'X ENVIRONMENTAL HEALTH DEPARTMENT <br /> •` _ 600 East Main Street, Stockton, CA 95202-3029 <br /> �4�rRi7R�,P Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.oM/ehd <br /> lehd { <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Le s-5 Date: <br /> Address, S A t1 City: ,SA G Zip Code: d S 33 <br /> Owner/Operator: A4 q ,r c II' ,�'! Telephone: 7 <br /> IV <br /> Program Element: 16 . 19Program Record: , Inspection Type: p� <br /> 5B180 Posted Pes ❑ No Permit Posted 01Yes [] No Re-Inspection on or After: s <br /> IN=In Compliance N!O=Not Observed N/A=Not Applicable COS=Corrected on-site MAJ=Major Violation OUT=Not in Compliance E <br /> See reverse side for code sections and general requirements that correspond to each violation listed below. <br /> Major violationsose a threat to public health and must be corrected immediate) . Non-compliance may warrant closure of the food facility <br /> -. -r _r <br /> lei N+o Nin, „Demonstration of I(nowied a `Ya�n� ouT�kcbs - .,.. <br /> _ ' <br /> _ _ g SuperVi§ion ae,T, <br /> 1. Demonstration of knowledge;food safety certificater1 24. Person In Charge is present and performs duties <br /> ,_r Employee f3ealth and.H;yrgianeW Personal Cleanliness- <br /> �_ 2. Communicable disease;reporting,restrictions&exclusions F A 25. Personal cleanliness and hair restraints <br /> _J3. No discharge from eyes,nose,or mouth;no open wounds -General Food Safety:iRe. u_ire_ments _ <br /> _ . <br /> + Proper eating,tasting,drinking,or tobacco use 26, Approved thawing methods used <br /> i <br /> Preventing Cor4.tarrurlat�on by HLrids,, �� 27. Food protected from contamination during storage <br /> 5. Hands clean and properly washed;proper glove use 28. Washing fruits and vegetables before use <br /> i <br /> Handwashing facilities supplied and accessible 29. Toxic substances properly identified,stored,and used i <br /> Time antl Temperature Relationship Food Storage7Displayl5ervi'ce <br /> . Proper hat and cold holding temperatures 30. Food storage;food storage containers labeled <br /> 8. Proper use of time as a public health control .i 31. Customer self-service food protected;individual utensils provided <br /> 9. Proper cooling methods .+ 32. Food properly labeled and honestly presented <br /> 10. Proper cooking time and temperatures s �. Equipment t Utensils!Linens <br /> 11. Proper reheating procedures for hat holding 33. Nonfood contact surfaces clean <br /> Protection hrom Contamination 34. Warewashing facilities maintained;test strips available <br /> 12. No re-service of returned food 35. Equipmentlutensils approved;installed;clean;good repair <br /> ,X #g, - 13. Food free from contamination and adulteration 36. Equipment,utensils and linens:storage and use <br /> 14. Food contact surface cleaned and sanitized/warewashing procedures 37. Vending machines maintained <br /> Food:From Ap.prowed Source _ _ 38. Approved and sufficient ventilation and lighting <br /> y �; 15y Food obtained from approved source 39. Thermometers provided,accurate,and easily visible <br /> 16. Compliance with shell stock regulations;tagsldisplay 40. Proper use and storage of wiping cloths <br /> 17. Compliance with Gulf oyster regulations P`ysicalFacilities <br /> _ Confonjiance Wi h A probed Procedures` 'w' 1. Plumbing maintained;proper back flow prevention <br /> 18. Compliance with HACCP plan or variance conditions 42, Garbage and refuse properly disposed <br /> Ca'rtsumerAdVsory 43. Toilet facilities clean,supplied,and maintained <br /> 19. Advisory provided for raw or undercooked food Al 1 44. Premises;personallcleaning items;vermin-proofing <br /> _ _� :Ftighlyi 5usceptible'1'opufatioras;, n, �Permaneiit Fbad Factlitles i <br /> 0. Prohibited foods not offered at high risk facilities 5. Floors,walls and ceiling are maintained and kept clean <br /> UVatar 46. No living or sleeping quarters inside facility <br /> 1.Hot and cold potable water available. Compliance;anil`Enforcement <br /> __ _ tLiqurd WasterD_rsposal __ 7. Signs posted;last inspection report available t <br /> 2. Sewage/wastewater properly disposed;toilet facility useable 8. Compliance with plan review requirements <br /> i <br /> .11 <br /> 9. Facility operating with a valid health permit <br /> 23. No rodents,insects,birds or animals inside facility 50. Impoundment {` <br /> 51. Permit Suspension J <br /> Received By/Title: <br /> EH Specialist: Phon i/j �� Page 1 of- <br /> EHD 16-23 (ist pg) 12115/09 7 T!Q FOOD PROGRAM OIR <br />