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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENPLMNT <br /> 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202- 0-8 <br /> it Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgay.org/eh i -i['`� <br /> FOOD` PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility; <br /> - <br /> Address: <br /> Date: <br /> City: Zip Gode: <br /> Owner/Operator: pone: <br /> Program Element: ( Program Record: <br /> � r �,. Inspection Type: <br /> S8180 PosfedYes ❑ No Permit Posted �j Yes El 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. "tMajor"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 /> Critical k i s k Factors: M.!., Nji_, The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially �ry <br /> hazardous food 1 2fr�[ll <br /> E <br /> Inadequate cooking temperatures/practices 3 4 <br /> r' L.' r 2+�42'L•1�1.L" .i�-Y�,�l��l C� � fi."'-• ��.G/` �•Gtri <br /> c improper reheahng temperaturesipractices 5 6 - <br /> � <br /> Improper cooling practices 7 � ry „� Go -{,L__ <br /> II Adulturated/Contaminated food 9 10 <br /> Reused/returned food .'I 11 12 .4, fty� a <br /> p T �Q G�zea✓ <br /> Cross contamination or improper handling <br /> 13 14 , <br /> of Food/Utensils/Equipment <br /> a ( + <br /> o Unapproved food source 15 16 ee <br /> l Improper thawing of potentially hazardous <br /> 17 18 <br /> food <br /> ,d III employee/cuts/rashes 19 20 <br /> Lack of proper hand washing procedure 21 22 y a <br /> L) <br /> /`fir r 4+trr E fir"/ Ems` <br /> T <br /> Required sink(s)/dish washing machine 23 24 �' J <br /> o .0 removed,inoperable,inaccessible <br /> c= Unsanitary Food Facility Conditions- <br /> Critical/Non-Critical Area ,i 25 26 <br /> I Hot water not available 27 28 <br /> - 'z: Lack of potable water supply 29 30 <br /> Improper sanitizer concentration/methods/ 4 - - <br /> testing equipment 31 32 CLL �2• � c� z <br /> Sewage system failure/back up 33 34 r �� <br /> - <br /> c� <br /> No operable/accessible toilets 'E 35 36 <br /> Rodent/Cockroach/Other vermin in fes tation' 37 38 <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF SAN JOAQUIN COUNTY BOARD OF SUPERVISORS. ALL <br /> DOCUMENTED CRITICALI 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 1TEM/LOCATION TEI,�II, <br /> Food Safety Certification Required: Yes[� Na 1 Time in: m p Time out: r - am pm <br /> Certificate Issued By:� f{ ate:L � Received By: <br /> Name on Certificate: �, 1,< �� Inspected By: �.�` <br /> EHD 15-023 <br /> 3/1 71200 4 ;, See Reverse Side For Additional Information Page Iof -_ <br />