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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web: www.sjgov.org/ehd <br /> FOOD RROGRANt ,0FFICIAL INSPECTION REPORT <br /> Name of Facility: S Date: D <br /> Address: 32 i���/L- City: Zip Code: <br /> Owner/Operator: ,� tih Telephone: <br /> Program Element: Program Record: Inspection Type: <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 2ose an imminent public health risk,but warrants timely correction as noted. <br /> Critical Risk Factors Major Minor The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially 1 2 ^^ CqC G <br /> Q hazardous food <br /> Inadequate cooking temperatures/practices 3 4 �SOOb — S C <br /> Improper reheating temperatures/practices 5 6 W <br /> Improper'cboling practices, { 7 8 / �JfL <br /> 119-4A 24fA& <br /> Adulturated/Contaminated food 9 10 �ggao_(�• <br /> Reused/retumed food 11 12 <br /> oCross contamination or improper handling 13 14 <br /> a °� z of Food/Utensils/Equipment <br /> u. <br /> c Unapproved food source 15 16 <br /> 0 <br /> u- Improper thawing of potentially hazardous <br /> 17 18AL <br /> food <br /> F 111 employee/cuts/rashes 19 20 <br /> N vi G <br /> Lack of proper hand washing procedure 21 22 <br /> Required sink(s)/dish washing machine <br /> o = removed,inoperable,inaccessible 23 2 <br /> i Unsanitary Food Facility Conditions- 25 26 ' <br /> Critical/Non-Critical Area /L ► <br /> Hot water not available 27 28 <br /> c <br /> Lack of potable water supply 29 30 <br /> 3 Improper sanitizes concentration/methods/ 31 32 <br /> testing equipment <br /> Sewage system failure/back up 33 34 <br /> a� c <br /> bU •- <br /> -'d No operable/accessible toilets 35 36 <br /> > Rodent/C'ockroach/Othervermin infestation 37 38 <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZE) 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 FACIIJTY OWNER OF RECORD OR APPLICANT SHALL BE PAID PRIOR TO THE ISSUANCE OF A PERMIT TO OPERATE. <br /> ITEM/LOCATION TEMP ITEM/LOCATION TEMP ITEM/L CATION TEMP <br /> d v <br /> Food Safety Certification Required: ,eyes El No Time i p Time out: S am <br /> / <br /> Certificate Issued By: Date: / / Received By: <br /> Name on Certificate: Inspected By: <br /> EHD 10-023 <br /> 3/17/2004 See Reverse Side For Add itiural Information Pagclol <br />