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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENTCOMPLAINT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:wA .siaov.org/ehd COPY <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: Ztt& City: Zip Code: ° . <br /> -Owner/Operator. < <br /> 3 Z <br /> Telephone: <br /> � <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted Yes ❑ No Permit Posted leYes ❑ 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 pose an imminent public health risk,but warrants timely correction as noted. <br /> The marked violations represent Health&Safety Code Violations and must be corrected as <br /> Critical Risk Factors Major Minor follows: <br /> Improper holding temperature of <br /> CL otentiall hazardous food 1 2 <br /> E Inadequate cooking <br /> temperatures! ractices 3 4 <br /> Improper reheating <br /> a <br /> rn <br /> _79- <br /> 0 pres/practices <br /> LL Improper cooling g practices 7 B <br /> Adulterated/Contaminated food 9 10va <br /> C <br /> 1Z Reused/returned food 11 12 a <br /> t 44LA?- - <br /> J0 m Cross contamination or improper 13 14 <br /> O m handling of Food/Utensils/Equipment <br /> W - �C.r� .�s�t,4._ e4�i I <br /> o Unapproved food source 15 16 <br /> O -[GCS <br /> LL improper thawing of potentially 17 18 � <br /> hazardous food <br /> otj III employeelcutslrashes 19 20 ' <br /> N W c <br /> 2 Lack of proper hand washing procedure 21 22 <br /> Required sink(s)/dish washing machine <br /> o removed,inoperable, inaccessible 23 24 ' <br /> Ii T LILQ Unsanitary Food Facility Conditions- <br /> CriticallNon-Critical Area 25 26 <br /> All, 4- <br /> Hot water not available <br /> C <br /> � N <br /> us F. Lack of potable water supply 29 30 <br /> '6 Improper sanitizer concentration/ <br /> 31 32 <br /> methods/testing equipment <br /> c <br /> Sewage system failure/back up 33 34 <br /> ar �* eW <br /> ro otl E No operablelaccessible toilets 35 3$ t t <br /> W m <br /> N > Roden UCockroach/Other vermin <br /> infestation 37 38 p r a+ <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RE=SOLUTION OF SAN JO QUIN 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 FACILITY OWNER OF RECORD OR APPLICANT SHALL BE PAID PRIOR TO THE ISSUANCE OF A PERMIT TO OPERATE, <br /> ITEM/LOCATION TEMP ITEM LOCATION TEMP ITEWLOCATION TEMP <br /> i <br /> 4 <br /> t <br /> Food Safety Certification Required: Yes El Time in. _ pm ut: am pm <br /> Certificate Issued By: ate:—I—/—/_ Received By: r <br /> Name on Certificate: Inspected By: <br /> FOOD PGRM OIR 9124/07 See Reverse Side For Additional Information Page 1 of <br />