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flNIvrtT4T.LII A7CT7E3 DEl'ARIMENT,= <br /> v 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-270 <br /> Il <br /> ` Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.ore�t� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPO01- <br /> Name of Facility: Date: <br /> Address: City: r' iv ' , Zip Code: <br /> C'�— 1,72 <br /> A AA <br /> OwnerlOperaton Telephone: • `?2—f 5- 7-- <br /> Program Element: PrograA Record: Inspection Type: C � <br /> { SB 480 Posted Yes ❑ No Permit Posted Yes ❑ 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 he 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 /> Critical Risk Factors_ �a�.iar Minor The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature ofpotentially <br /> hazardous food 1 2 co — 6'C 0-4 '- <br /> E ' <br /> v Inadequate cooking temperatures/practices 3 4 ' ^a1—J��� <br /> o Improper reheating temperatures/practices 5 <br /> 0 <br /> .. s <br /> Improper cooling practices 7 <br /> I AdtdturatedlContaminated food 9 10 A r, <br /> Reused/returned food 11 12 /_ j l044,41L <br /> o Cross contamination or improper handling <br /> ° of Food/Utensils/Equipment 13 14 <br /> o Unapproved food source 15 16 <br /> ° 4 SCK <br /> - Improper thawing of potentially hazardous 17 18 <br /> food <br /> c Ill employee/eUtS/IaSheS 19 20 <br /> a�. <br /> ' Lack of proper hand washing procedure 21 22 <br /> Required sink(s)Idish washing machine 23 24 <br /> o •� removed,inoperable,inaccessible {ra y f Az ti � Iii <br /> u Unsanitary Food Facility Conditions- 'f <br /> Critical/Non-Critical Area 25 26 <br /> 7 � <br /> � Hot water not available 27 28 <br /> v" Lack of potable water supply 29 30 wW,-,,7VL Ul" Zs syn <br /> { <br /> � Improper sanitizer concentration/methods/ <br /> i <br /> t testing equipment 31 32 <br /> x. <br /> Sewage system failure/black up 33 34 ® <br /> rte r <br /> No operable/accessible toilets 35 .36 / � 4' <br /> n > Rodent/Cockroach/Other vermin infestation 37 38 j ^� <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/LOCATION TEMP ITEM/LOCATION TF:vw <br /> Food Safety Certificate �te ired•- Yes❑ o �r Time in: r Time u v C amt n <br /> Certificate Issued By: LKLIZ <br /> �dteReceived By:Name on Certificate: ' / �� Inspected By: J <br /> 1 <br /> kM 16-023 <br /> • 712oo1 See Reverse�Si(Ie For Additional Information Pagel of f <br />