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9 SAN JOAQUIN COUNA <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q: a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c... ,p Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.siaov,oro/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ree if.rels <br /> 0rI A7/1 , +a Date: /D <br /> Address: i� Com' TY�rC Zip Code: S J 3,- <br /> owner/operator. FO✓iSal-00 rirr rd b'TO <br /> 3S- 6Odic <br /> Program Element: 1 ,23 Program Record: so,,;, Inspection Type: e <br /> SB180 Posted es ❑ No Permit Posted d1i Ll No Re-Inspection on or After: <br /> IN=In Compliance WO=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 /> Major violations pose a threat to public health and must be corrected immediately, Non-compliance may warrant closure of the food facility <br /> IN N:o NA Demonstration of Knowledge M.AJ our ccs Supervision 1t' <br /> ji 1. Demonstration of knowledge;food safety certificate 24. Person In Charge is present and performs duties <br /> A <br /> aagh,"dhygiene Personal Cleanliness <br /> . Communicable disease; reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints <br /> 3. No discharge from eyes,nose,or mouth;no open wounds General Food Safety.Requirements <br /> .. <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 /> tds clean and properly washed;proper glove use 28. Washing fruits and vegetables before use <br /> dwashing facilities supplied and accessible 29. Toxic substances properly identified,stored,and used <br /> Time and Temperature Relationship Food Storage/Display/Serviceer hot and cold holding temperatures 30. Food storage food storage containers labeled <br /> er use of time as a public health control 1. Customer self-service food protected;individual utensils provided <br /> er cooling methods 2. Food properly labeled and honestly presented <br /> er cooking time and temperatures <br /> yr 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean <br /> Protection From Contamination - 4. Warewashing facilities maintained;test strips available <br /> 12. No re-service of returned food 35. Equipmentlutensils approved;installed;clean;good repair <br /> V/1713. Food free from contamination and adulteration 36. Equipment,utensils and linens:storage and use <br /> 14. Footl contact surface cleaned and sanitized/warewash ing procedures v 37. Vending machines maintained <br /> Food From Approved Source 8. 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 0. Proper use and storage of wiping cloths <br /> t 17. Compliance with Gulf oyster regulations Physical Facilities <br /> Conformance With Approved Procedures 41. Plumbing maintained;proper back flow prevention <br /> 18. Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed <br /> Consumer Advisory 43. Toilet facilities clean,supplied,and maintained <br /> 19. Advisory provided for raw or undercooked food 44. Premises;personal/cleaning items;vermin-proofing <br /> Highly Susceptible Populations. Permanent Food Facilities <br /> 0. Prohibited foods not offered at high risk facilities 45. Floors,walls and ceiling are maintained and kept clean <br /> Water/Hot Water - 7 - 6. No living or sleeping quarters inside facility <br /> l 21.Hot and cold potable water available. Compliance and Enforcement <br /> Liquid Waste Disposal 47. Signs posted;last inspection report available <br /> r 22. Sewage/wastewater properly disposed:toilet facility useable 46. Compliance with plan review requirements <br /> Vermin 49. Facility operating with a valid health permit <br /> i -23. No rodents,insects,birds or animals inside facility 50. Impoundment <br /> 1. Permit Suspension <br /> Received Bylfitle: ( Z�� 4 (_ <br /> EH Specialist: Phone: -3 r Page 1 oft <br /> EHD 16-23(1st pg) 4/9/12 FOOD PROGRAM OR <br />