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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> f 600 East Main Street, Stockton, CA 95202-3029 COMPLAINT <br /> ku.... Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd COPY i <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility; a t r Date; <br /> Address: OC11 7, C City: Zip Code: 9 <br /> Owner/Operator: Telephone: _ r <br /> Program Element: Program Record: <br /> 16 , 0-0 9 e Cha � Inspection Type: eL. <br /> SB18d Posted Yes ❑No Permit Posted ikYes ❑ No Reinspection on or After: I <br /> The items marked and/or listed below are violations detailed in the California Health&Safety Code(CHSC),commencing§113700. "Major"is acritical violation that I <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 imminentpublic health risk,but warrants timely correction as noted, i <br /> Critical Risk Factors m.j_ Minor The marked violations re resent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially f <br /> ci hazardous food 1 2 <br /> E t7 ��Cl WI�GI, rz/k i <br /> Inadequate cooking temperatures/practices 3 4, UAVM*F�S bit � r_ _ <br /> o Improper reheating temperatures/practices 5 �Improper cooling practices 7 Adulturated/Contaminated food 9 u S <br /> C r ' <br /> Reused/returned food 11 12 <br /> v _ <br /> o Cross contamination or improper handling <br /> X of Food/Utensils/Equipment <br /> 13 14 <br /> o Unapproved food source 15 16 ! <br /> o <br /> Improper thawing of potentially hazardous _ I <br /> food 17 18 ,$ J S d✓jllti� <br /> III employee/cutslrashes 19 20 �J 1 <br /> Lack of proper hand washing procedure 21 22 <br /> v Required sink(s)/dish washing machine 23 24 ! <br /> o removed,inoperable,inaccessible (i e's she <br /> u x Unsanitary Food Facility Conditions- 25 26 <br /> CriticallNon-Critical Area <br /> on Hot water not available 27 28 1� <br /> r <br /> R ad .Y Lack of potable water supply 29 30 �wG� <br /> Improper sanitizer concentration/methods/ ` <br /> 31 32 (� <br /> testing equipment <br /> Sewage system failure/back up 33 34 7-� r?v <br /> 3 a! No operable/accessible toilets 35 36 <br /> � v <br /> 7 Rodent/Cockroach/Othef vermin infestation �3738 <br /> I <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF SAN JOAQUIN COUNTY BOARD OF SUPERVISORS. ALL <br /> j DOCLMIENTED CRITICAL HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT TO A REINSPECTION AND REINSPECTION FEE. ALL UNPAID CHARGES j <br /> ASSOCIATED WITH THE FACILITY OWNER OF RECORD OR APPLICANT SHALL BE PAID PRIOR TO THE ISSUANCE OF A PERIv1IT TO OPERATE. <br /> ITENVLOCATION TEMP ITEM/LOCATION TEMP ITEM/LOCATION TEMP _ <br /> i <br /> 4 <br /> Food Safety Certificatio R u red: Yes El Time In: l/•� a !pm Timeout: a 1pm <br /> Certificate Issued By: Date:_ _I I Received By. <br /> i Name on Certificate: -Cee Inspected By: ; <br /> I <br /> EF@ 16-023 <br /> 14/3/2007 See Reverse Side For Additional Information <br />