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SAN JOAQUIN COUN' ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95205-6232 4CjF� ia ;p Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd FOOD PROGRAM OFFICIAL INSPECTION REPORT Name of Facility: Date: _7-/7-[6 Address: Z�0 /� City: / _ Zip Code: c Ct Lf� Owner/Operator: Telephone: Program Element: Af, Program Record: Inspection Type: B180 Posted' Yes No Permit Posted es No Re-Inspection on or After: IN=In Compliance N/O=Not Observed N/A=Not Applicable COS=Corrected on-site MAJ=Major Violation OUT=Not in Compliance See reverse side for code sections and general requirements that correspond to each violation listed below. Major violations pose a threat to ublic health and must be corrected immediatel . Non-corn liance maX warrant closure of the food facility IN N* wn - Demonstration of Knowledge }aai �� cos Supervision. ou1's I' Demonstration of knowledge;food safety certificate [25. Person In Charge is present and performs duties Employee Health and Hygiene Personal Cleanliness Communicable disease;reporting,restrictions&exclusions � � Personal cleanliness and hair restraints No discharge from eyes,nose,or mouth;no open wounds Genera!Food Safety Requirements Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used ` , 3i09, 7. Food protected from contamination during storage �. v- , Hands clean and properly washed;proper glove use 28. Washing fruits and vegetables before use k Handwashing facilities supplied and accessible 29. Toxic substances properly identified,stored,and used Xt .M \.... . w:. rieiatiansltp M � o .. :. Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled Proper use of time as a public health control 31. Customer self-service food protected;individual utensils provided Proper cooling methods 32. Food properly labeled and honestly presented ten_ 0. Proper cooking time and temperatures �g , Equrpm+ , s11 , .. 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean 41- __ 34. Warewashing facilities maintained;test strips available Y dram Contaiairaeios ' 12. No re-service of returned food V` 35. Equipment/utensils aPProved;installed;clean;good repair �W' 13. Food free from contamination and adulteration 36. Equipment,utensils and linens:storage and use 14. Food contact surface cleaned and sanitized/warewashing procedures 37. Vending machines maintained Food". ipproKed Source_. fir+ 38. Approved and sufficient ventilation and lighting 15. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible 16. Compliance with shell stock regulations;tags/display 40. Proper use and storage of wiping cloths 17. Compliance with Gulf oyster regulations Conformance With Approved Procedures 41. Plumbing maintained;proper back flow prevention 8. Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed Consumer Advisory 43. Toilet facilities clean,supplied,and maintained i t 9 Advisory provided for raw or undercooked food 44. Premises;personal/cleaning items;vermin-proofing Highly Susceptible Populations `�� PermaDoS# acrtiibes � 0. Prohibited foods not offered at high risk facilities 45. Floors,walls and ceiling are maintained and kept clean Water(Hot Water 6. No living or sleeping quarters inside facility 1.Hot and cold potable water available. an .._ NMI1q%itd Waste Dispo: .r 7. Signs posted;last inspection report available BINS V 2 Sewage/wastewater properly disposed;toilet facility useable 48. Compliance with plan review requirements Vermin 49. Facility operating with a valid health permit 3. No rodents,insects,birds or animals inside facility 50. Impoundment 51. Permit Suspension Received By/Title: EH Specialist: _ 1_ Phone: _ Page 1 of EHD 16.23 (1st pg) 4/9/12 T FOOD PROGRAM DIP