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peat" SAN JOAQUIN COUNT <br /> X ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 7. =. �a Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> 4C�FD�c� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: (4 q tA e. r t& E I F )E , Date: <br /> Address: VCity: Zip Code: <br /> 520v (' Iek- # c-I2 f r <br /> Owner/Operator: Telephone: <br /> �,hu c c ) � <br /> Program Element j Program Record: J so C- 3 I d' Inspection Type: ;Cf <br /> IS 8180 Posted Ye No Permit Postedes 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 /> Major violations gose a threat to ublic health and must be corrected immediate!_,. Non-com /lance max warrant closure of the food facility <br /> rYb { A.:�Z n O# flOW�Bt Br � w\� tttlr GxiS SuperYfS <br /> 1. Demonstration of knowledge;food safety certificate 24. Person In Charge is present and performs duties <br /> P r §\ Errl�f�ta1'dtld'.}�Y91ettG* \\ \u ^ sMMER-2 <br /> Communicable disease;reporting,restrictions&exclusions 11013 25. Personal cleanliness and hair restraints <br /> No discharge from eyes,nose,or mouth;no open wounds _., ',rB �Sae ! <br /> 9 Y P <br /> . Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used <br /> . 1it �#acni ,. s W; 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 /> „., wkwi <br /> 'a: ' e' tiorfarip <br /> Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled <br /> Proper use of time as a public health control 31. Customer self-service food protected;individual utensils provided <br /> Proper cooling methods 32. Food properly labeled and honestly presented <br /> 10. Proper cooking time and temperatures \� , <br /> P 9 P J .. . £qulpll»A t7tenlsiis�' a\ <br /> . .s: <br /> 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean <br /> - " <br /> ,„,„ Cbt11i�>vortfit 34. Warewashing facilities maintained;test strips available <br /> .a o._-a_ . _ �. a <br /> ft <br /> 12. No re-service of returned food 35. Equipmentlutensils approved;installed;clean;good repair <br /> ,u 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 /> 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 <br /> e <br /> rrnapCe yyrth OYQiM s .. 1. Plumbin maintained;proper back flow revention <br /> T 18. Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed <br /> MW <br /> 3. Toilet facilities clean,supplied,and maintained <br /> RM <br /> 9. Advisory provided for raw or undercooked foodLI44. Premises;personal/cleaning items;vermin-proofing <br /> a 3 n FerniOia �.t�1GeS <br /> Bt <br /> p ti\,a <br /> 0. Prohibited foods not offered at high risk facilities 5. Floors,walls and ceiling are maintained and kept clean <br /> Water l ft x '. 6. No living or sleeping quarters inside facility <br /> Hot and cold potable water available. 8t1Ge <br /> Wilt <br /> 7. Signs posted;last inspection report available <br /> 2. Sewage/wastewater properly disposed;toilet facility useable 48. Compliance with plan review requirements <br /> enWIN <br /> ti�� s �„ 9. Facility operating with a valid health permit <br /> �.. <br /> 3. No rodents,insects,birds or animals inside facility 0. Impoundment <br /> 151. Permit Suspension <br /> Received By/Title: ( SJC,r <br /> EH Specialist: _ Phone: Page 1 of 7 <br /> EHD 16-23 (1st pg) 419/12 FOOD PROGRAM OIR <br />