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u' SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENTCOMpLAI <br /> 600 East Main Street, Stockton,CA 95202-3029 COPY <br /> Telephone:(209)468-3420 Fax.-(209)464-0138 Web:www.Sjgov.o!-g/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility. Date: /7/7-57-0.z <br /> Address: LCity: Zip Code: SO�E3 <br /> Owner/Operator: Telephone' <br /> Program Element: Program Record:00 � Inspection Type: <br /> S8180 Posted K Yes [3 No Permit Posted Yes p No Reinspection on or After. <br /> The items marked and/or listed below arc violations detailed in the California Health&Safety Code(CHSC),commencing§t 13700. "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 ris but warrants timely correction as noted. <br /> Critical Ris.k Factors Minor The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially <br /> C6 hazardous food 1 2 0 002-70 Xcl <br /> u inadequate cooking temperatures/practices 3 4 �% 9 4,01 <br /> ` <br /> [- <br /> o Improper reheating temperatures/practices 5 eaig r <br /> e Qg4b0 <br /> Improper cooling practices 7 S Q/ <br /> m Adulturated/Contaminated food 9 10 t <br /> Reused/returned food 11 12 <br /> v <br /> c Cross contamination or improper handling 13 14 <br /> of Food/Utensil ui ment <br /> o Unapproved food source 15 16 <br /> Improper thawing of potentially hazardous <br /> food PAAk 17 18 r + <br /> III employWcuts/rwhes 19 20 <br /> u � c <br /> Lack of proper hand washing procedure 21 22 <br /> Required sink(s)/dish washing machine 23 24 <br /> o •� removed,ino ble,inaccessible <br /> Unsanitary Food Facility Conditions- <br /> Critical/Non-Critical Area 25 28a l� < <br /> oa Hot water not available 27 '29 _ <br /> e: <br /> V N <br /> �! Lack of potable water supply 29 30 <br /> 3 Improper sanitizer concentration/methods/ <br /> testi equipment 31 32 �dR `5 se 1-1CIlr1 12 <br /> Sewage system failure/back up 33 34 16 ✓eg �. <br /> u p - <br /> eri <br /> 3 ' u No operable/accessible toilets 35 36 5� n 4lft— J <br /> > Rodent/Cockroaeh/Other vermin infestation 37 38 <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF SAN jOAQUIN 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 /> ITEMfLLACATION TEmr ITE LOCATION TEMP ITEMILOCATION TEMP <br /> o I % -/= <br /> trG 0° <br /> Food Safety Certlfleatlon Required: 4 Yes❑No Time In:&40 a Tim -ut: 11 an <br /> Certlflcate Issued By: �91 f✓S Received By: <br /> Name on Certilicate: .�L� _ „ _._ Inspected By: <br /> u�nooi See Reverse Side For Additional Information P.—II f <br />