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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0528137
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Entry Properties
Last modified
5/1/2020 1:57:35 PM
Creation date
1/23/2019 10:36:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0528137
PE
1619
FACILITY_ID
FA0019051
FACILITY_NAME
TARGET T2347
STREET_NUMBER
16858
STREET_NAME
GOLDEN VALLEY
STREET_TYPE
PKWY
City
LATHROP
Zip
95330
APN
191-190-630-000
CURRENT_STATUS
01
SITE_LOCATION
16858 GOLDEN VALLEY PKWY
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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tc:kg SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> J. <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.siqov.orq/ehd <br /> �/FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: TalrdqelfA�tv_ <br /> T-dM4 Date: <br /> Address: 1�61V;8lilgdbeetu= <br /> City: -CC1 a ijYr(0 AZip Code: 33c) <br /> Owner/Operator: W p Telephone: '7 <br /> Program Element: C� Program Record: 0_ �3 Inspection Type: <br /> SB180 Posted ❑Yes ❑ No Permit Posted ❑Yes ❑ No Re-Inspection on or After: <br /> IN=In Compliance N/O=Not Observed N/A=Not Applicable COS=Corrected on-site MAJ=Major Violation OUT=Not in Compliance <br /> See reverse side for code sections and general requirements that correspond to each violation listed below. <br /> Ma br violations pose a threat to public health and must be corrected immediate) . Non-compliance may warrant closure of the food facility <br /> IN woEl. <br /> Demonstration of Knowledge- MAJour cosemonstration of knowledge;food safety certificate 24. Person In Charge is present and performs duties <br /> Employee Hevalth a Logienna -Personal Cleanliness `- <br /> 2. Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints <br /> Xi3. No discharge from eyes,nose,or mouth;no open wounds General Food_Safety,Requirements <br /> Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used <br /> Preventing_Contamination by Hands 27. Food protected from contamination during storage <br /> -; - <br /> 5. Hands clean and properly washed;proper glove use 28. Washing fruits and vegetables before use <br /> 6. Handwashing facilities supplied and accessible 29. Toxic substances properly identified,stored,and used <br /> Relaf Food Sto age Display Servic <br /> 17. Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled <br /> 8. Proper use of time as a public health control 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 E,gwpment/Utensils/Linens <br /> 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean <br /> o 34. Warewashing facilities maintained;test strips available <br /> 12. No re-service of returned food 35. Equipment/utensils approved;installed;clean;good repair <br /> ,N0113. 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 /> o:od,From App o 38. Approved and sufficient ventilation and lighting <br /> 15. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible <br /> 16. Compliance with shell stock regulations;tags/display 40. Proper use and storage of wiping cloths <br /> 17. Compliance with Gulf oyster regulations I <br /> Conformance With Approved Procedures 1. Plumbing maintained;proper back flow prevention <br /> 18. Compliance with HACCP plan or variance conditions 2. Garbage and refuse properly disposed <br /> Consumer Advisory 3. Toilet facilities clean,supplied,and maintained <br /> 19. Advisory provided for raw or undercooked food 4. Premises;personal/cleaning items;vermin-proofing <br /> Highly-Susceptible Populations ' __ - eri-m_anent Food Faalities <br /> NX20. Prohibited foods not offered at high risk facilities 45. Floors,walls and ceiling are maintained and kept clean <br /> ater/Hot Water 46. No living or sleeping quarters inside facility <br /> 21.Hot and cold potable water available. Compliance and Enforcement <br /> Liquid Waste Disposal 47. Signs posted;last inspection report available <br /> 22. Sewage/wastewater properly disposed;toilet facility useable 48. Compliance with plan review requirements <br /> e. j 9. Facility operating with a valid health permit <br /> 3. No rodents,inse ' s or animals inside facility 50. Impoundment <br /> 51. Permit Suspension <br /> Received By/Title: <br /> EH Specialist: Phone: Lf/� ✓ /�Y Page 1 of <br /> EHD 16-23(1st pg) 4/9/12 / �/ FOOD PROGRAM OIR <br />
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