Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> a ENVIRONMENTAL HEALTH DEPARTMENT <br /> -_ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �4•. �;;� Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:wwwsiaov.orta/ehd <br /> {IFdYi <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: _ � T X Date: C,--,Gpt_ 1 <br /> Address: (7% City: Zip Code: �. �_ <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: , S Inspection Type:, <br /> 81110 Posted ❑Yes D No Permit Posted i7 Yes D No Re-Inspection on or After: <br /> IN=In Compliance N/O=Not Observed NIA=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 /> Major violations pose a threat to public health and must be corrected immediate) . Non-com liance may warrant closure of the food facility <br /> '�€. rho r� ,� �torlf3is��1 of l(c3if[ie�" � 3�,;, � � �I[pfrf;ti3�r>� ,,;• <br /> 1. Demonstration of knowledge;food safety certificate 24. Person In Charge is present and performs duties <br /> . . Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints <br /> 44No discharge from eyes,nose,or mouth;no open wounds a #Food,a � <br /> Proper eating,tasting,drinking,or tobacco use 6. Approved thawing methods used <br /> # l�@tt3 >v'+3 tItfJ # " 011 $ r <br /> 7. Food protected from contamination during storage <br /> Hands clean and properly washed;proper glove use 28. Washing fruits and vegetables before use <br /> Handwashing facilities supplied and accessible 29. Toxic substances properly identified,stored,and used <br /> ., 1pL4fIf&tK �cf�lt3p: -47.keiC � vim <br /> ....... <br /> 7. <br /> 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 t> <br /> 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean <br /> Ml j7k11]fat>+ Stlftt �;na, 4. Warewashing facilities maintained;test strips available <br /> 12. No re-service of returned food 35. Equipmentlutensils approved;installed:clean;good repair <br /> a? .13. Food free from contamination and adulteration 6. Equipment,utensils and linens:storage and use <br /> 14. Food contact surface cleaned and sanitizedlwarewashing procedures 37. Vending machines maintained I <br /> t"a �, 31 Df11 L4 ;;, ...•.•... <br /> acv- ? t11 ;. 4 8. Approved and sufficient ventilation and lighting <br /> 15. Food obtained from approved source <br /> _�,a°• pp � � 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 3taCt�l i=act! tres' <br /> _..:....... <br /> _...` iRt1 riar1 i�ftfll , <br /> -- 1. Plumbing maintained;proper back flow prevention <br /> Ap ft <br /> 18. Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed <br /> Gnsumer Adtdta <br /> 3. Toilet facilities clean,supplied,and maintained <br /> I'M 19. Advisory provided for raw or undercooked food 44. Premises;personal/cleaning items;vermin-proofing <br /> w <br /> ,: ,,., .� tit 'Su��p4ible ��f�t#tli �itahiDr�t�otr�f�act� <br /> a <br /> i <br /> s <br /> 0. Prohibited foods not offered at high risk facilities -: 5. Floors,walls and ceiling are maintained and kept clean <br /> _ __ a.. • Yost rtot lal � z `, 6. No living or sleeping uarters inside facility <br /> 1.Mot and cold otable wateravailable. - �i- "" � } <br /> p ,",, �,�'t►rl:tpfiil �tlipt#�,fbra;�tner� <br /> 7. Signs posted;last inspection report available , <br /> ` 2. Sewage/wastewater properly disposed;toilet facility useable 48. Compliance with plan review requirements <br /> - Verai�r� 9. Facility operating with a valid health permit <br /> .. <br /> �,�� 3. No rodents,insects,birds or animals inside facility 50. Impoundment i <br /> T 1. Permit Suspension I <br /> Received B <br /> EH Specialist: � i - ` Phone: . Page 1 of <br /> EHD 16-23 (1st pg) 419/12 1�1� v FOOD PROGRAM OIR <br />