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,z I <br /> SAN JOAQUIN COUNTY <br /> z Y�c� ENVIRONMENTAL HEALTH DEPARTMENTCOMPLAINT <br /> N' <br /> -3-4 600 East Main Street, Stockton,CA 95202-3029 COP <br /> s� <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/chd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: �'� 2- -Q <br /> Address D City: Zip Code: S <br /> Ownerl0perator: j Telephone: 4 <br /> Program Element: O Program Record: Inspection Type: I✓�►vl <br /> SB180 Posted Yes ❑No Permit Posted Yes ❑No Reinspection on or After: 9 <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 Rose an imminent public health risk,but warrants timely correction as noted. <br /> i <br /> Critical Risk Factors Maior Miaor The marked violations re resent Health&Safety Code Violations and must be corrected as follows: <br /> j Improper holding temperature of potent? <br /> n hazardous food 1 2 t C `S <br />{ Inadequate cooking temperatures/practices 3 4 5 S <br /> o Improper reheating temperatures/practices 5 6 •5 ` <br /> 0 <br /> w Improper cooling practices 7 8 <br /> Adulturated/Contaminated food 9 10 <br /> to <br /> I <br /> ' G <br /> Reused/returned food 11 12 O <br /> c Cross contamination or improper handling 13 14 / V <br /> O of Food/Utensils/Equipment <br /> t w � <br /> V Unapproved food source 15 16 <br /> 0 <br /> w Improper thawing of potentially hazardous 17 16 <br /> food <br /> Ili employee/cuts/rashes 19 20 <br /> h � <br /> G Lack of proper hand washing procedure 21 22 7— <br /> m <br /> Required sink(s)/dish washing machine <br /> 23 24 <br /> o -� removed,inoperable,inaccessible <br /> w w Unsanitary Food Facility Conditions- 25 26 / <br /> Critical/Non-Critical Area E� <br /> cn Hot water not available 27 26 <br /> �3 'k Lack of potable water supply 29 30 GLt� r 1- �1. �` <br /> L, Improper sanitizer concentration/methods/ <br /> 31 32 <br /> testing equipment <br /> Sewage system failure/back up 33 34 O Gem n 4� <br /> a+ e <br /> co <br /> 3 E No operable/accessible toilets 35 36 <br /> v <br /> Rodent/Cockroach/Other vermin infestation 37 38 <br /> A, CceS �rners <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 /> ITEM/LOCATION TEMP ITEM/LOCATI N TEMP ITEM/LOCATION TEMP <br /> Food Safety Certification Required: ❑Ye*Z No Time In: 3I Time out: r SV a <br /> Certificate Issued By: Date:�1�1_ Received By: <br /> Name on Certificate: Inspected By: <br /> ?M 16-021 _ <br /> 411/2007 See Reverse Side For Additional Information P.— Il f <br />