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.r- <br /> SAN JOAQUIN COUN'T'Y <br /> WinENVIRONMENTAL HEALTH DEPARTMENT NT� <br /> " i } 600 East Main Street, Stockton, CA 95202-3029 <br /> COPY <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.Sjgov,org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: iP M 142 r 672 i>- Date: C=) <br /> Address: ZS�7� S, /+T']I` 5e* ZK 91!2 <br /> Zip Code:' <br /> Owner/Operator: Telephone; 77 <br /> Program Element: Program Record: Inspection Type: <br /> SB 180 Posted Yes ❑ No Permit PostedYes ❑ 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 gose an imminent public health risk,but warrants timely correction as noted. <br /> Critical Risk Factors Tra'nr Minor The marked violations represent Health&Safety Code Violations and must be corrected as follows: j <br /> Improper holding temperature of potentially << <br /> a hazardous food 1 2 �Q W00 t�T S� 5 7-k 00 <br /> B <br /> E✓ Inadequate cooking temperatures/practices 3 4 <br /> o Improper reheating temperatures/practices 5 6 <br /> _SI*T� <br /> w <br /> Improper cooling practices 7 8 avt"R <br /> Adulturated/Contaminated food 9 10 If _ <br /> Reused/returned food 11 12 SET F�e-P At R5 <br /> c Cross contamination or improper handling <br /> r? ' ofFood/Utensiis/Equipment 13 14 �� IN IdKr 3E II! O (NS <br /> c Unapproved food source 15 16 <br /> V,5as rsdvsF /S Fir <br /> o <br /> �- Improper thawing of potentially hazardous <br /> food 17 18 <br /> Ill employee/cuts/rashes 19 211 yt> 14) �Deftwocm ZA 7U2+< QE 1p <br /> Lack of proper hand washing procedure 21 22 rd lf"06 DU8kcd g <br /> .L Required sink(s)/dish washing machine 23 24 <br /> oremoved,inoperable,inaccessible <br /> w Unsanitary Food Facility Conditions- 25 26 <br /> Critical/Non-Critical Area <br /> ou Hot water not available 27 28AAS <br /> c <br /> � •N ' <br /> R al Lack of potable water supply 29 30 A)MOV NAND5 5/bN I P E IT/ r3/99(yKJZ101 <br /> fFQ ! <br /> Improper sanitizer concentration/methods/ P <br /> testing equipment 31 32 Y41-7 16.&5 /01M,-AINr,44J <br /> Sewage system failure/hack u <br /> c g y p 33 34 S kzx-,w <br /> 3 No operable/accessible toilets 35 36 <br /> Rodent/Cockroach/Othervermin infestation 37 3&—.INUfl ((SII 57TWPO+t 5 46#NAS 4FV <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 TEMP <br /> Food Safety Certification Required: [2 Yes❑ No Time in: �i " im out: t <br /> Certificate Issued By: SERV S/4k Date:-tL/4 % Received By: <br /> Name on Certificate: CY-(RA- Inspected By: <br />' EHIa 16-023 ' <br /> 41312007 See Reverse Side For Additional Information PaoPI .r <br />