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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> a:�, <br /> 600 East Main Street, Stockton, CA 95202-3029 COMPLAINT <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.siaov.orglehd <br /> . a> COPY <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility; IDate: p <br /> Address: G City: Zip Cade: x.19 <br /> Owner/Operator: R Telephone: 2„ f 4, <br /> Program Element: 1 q Program Record: Inspection Type: f <br /> SB180 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 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 timety correction as noted. <br /> The marked violations represent Health&Safety Code Violations and must be corrected as <br /> C r i t i c a l Risk Factors Major Minor follows: <br /> Improper holding temperature of �r <br /> CL potentially hazardous food 1 2 6/", <br /> EInadequate cooking 3 a <br /> temperatures/practices <br /> Improper reheating ! G <br /> etemperatures/practices 5 e �L <br /> 0 <br /> LL Improper cooling practices 7 8 <br /> Adulterated/Contaminated food 9 10 '' W �� <br /> c Reused/returned food 11 12 <br /> o ro Cross contamination or improper F <br /> D °d handling U <br /> of Food/Utensils/Equipment 13 14 <br /> = & <br /> u <br /> o Unapproved food source 15 16 r <br /> LL Improper thawing of potentially <br /> hazardous food 17 18 <br /> ofIII employee/cuts/rashes 19 20 CJL A <br /> „ in �v <br /> c Lack of proper hand washing procedure 21 22 Z& _ MAJ.4rA oAffb <br /> m � <br /> Required sink(s)/dish washing machine 23 24 <br /> o removed,inoperable, inaccessible <br /> i° _ Unsanitary Food Facility Conditions- 25 26 • <br /> CriticallNon-Critical Area <br /> Hot water not available 27 28 <br /> c <br /> 'N_ Lack of potable water supply 29 30 <br /> in <br /> Improper sanitizer concentration/ 31 32 c <br /> methods/testing equipment <br /> c <br /> Sewage system failure/back up 33 34 <br /> rn <br /> ca No operable/accessible toilets 35 3e <br /> CD <br /> > Rode nt/Cock roach/Oth er vermin 37 38 <br /> infestation <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 ITEMILOCATION TEMP ITEWLOCATION TEMP <br /> Food Safety Certification Required: Yes El No Time in: r TSme out: am& <br /> Certificate Issued By: Date:_I_I_ Received By. <br /> I Name on Certificate: Inspected By: <br /> FOOD PGRM OIR 9124/07 See Reverse Side For Additional Information Page 1 of- Jr__ <br />