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S ter }!1!v III <br /> SAN JOAQUIN COUNTY T " 'T a <br /> ,off . - ••.oma , ; <br /> _• ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton,CA 95202-3029 <br /> Telephone: 209 468-3420 Fax:(209)464-0138 Web:www.sjgov,org/ehd <br /> \0•: tee <br /> •Q .a:. <br /> D PROGRAM OFFICIAL INSPECTION REPORT <br /> Foo �y <br /> Name of Facility: <br /> Date: ro <br />' Address: - QJ City: Zip Code: <br /> 4219rj� Y,4 <br /> Owner/Operator: Telephone: (� <br /> Program Element: Program Record: S Inspection Type: <br /> SI3180 Posted ❑Yes [3No Permit Posted ❑Yes ❑No Reinspection on or After. <br /> I <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. i <br /> i <br /> Critical Risk FactorsInt,ally <br /> n, Minor The marked violations represent Health&Safe Code Violations and must be corrected as follows: <br /> Improper holding temperature of pote2 <br /> a, hazardous food <br /> vInadequate cookingtemperatures/pra4 Improper reheating temperatures/pra6 <br /> o - n _ <br /> u Improper cooling practices 7 8 ,�-�cCp } <br /> a <br /> Adulturated/Contaminated food 9 10 64&,- <br /> m <br /> Reused/returned food 11 12 <br /> C, <br /> Cross contamination or impfoper handling 13 14 <br /> C p~ of Food/Utensils/Equipment <br /> ra. <br /> c Unapproved food source 15 16 <br /> I o <br /> Improper thawing of potentially hazardous <br /> f17 18 <br /> food <br /> It I11 employee/cuts/rashes 19 20 <br /> y C <br /> •� � Lack of proper hand washing procedure 21 22 <br /> Required sink(s)ldish washing machineP3 24 ` c <br /> o •-- removed,inoperable,inaccessible e2+ X40X� <br /> w x Unsanitary Food Facility Conditions- 25 26 c <br /> Critical/Non-Critical Area • <br /> ,u Hot water not available 27 28 <br /> �3 Lack of potable water supply 29 30 oL <br /> 3 _/J <br /> Improper sanitizer concentration/methods/ 34 32 <br /> testing equipment <br /> Sewage system failure/back up 33 34 <br /> v C <br /> bA <br /> No operable/accessible toilets 35 36 <br /> RodentlCockroach/Other vermin infestation 37 38 16.41 <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF SAN JOAQUIN COUNTY BOARD OF SUPERVISORS. ALL <br /> 1 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 13E PAID PRIOR TO THE ISSUANCE OF A PERMIT TO OPERATE. <br /> ITEM/LOCATION TEMP ITEM/LOCATION TEMP ITEM/LOCATION TEMP <br /> E <br /> I <br /> Food Safety Certification Required: Yes ElTime in: m m Tim o t: a /pm <br /> Certificate Issued By: _Date:—/—/—Aig Received By: <br /> Name on Certificate: VVI Inspected By: <br /> tm Ib-021 <br /> 413/2W7 See Reverse Side For Additional Information Pagel of - <br />