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SAN JOAQUIN COUNTY <br /> � x ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton,CA 95202-3029 <br /> • •� Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r Date: 5 <br /> Address: City: yL Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <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 2ublic health risk,but warrants timel correction as noted. <br /> Critical Risk Factors Major Minor The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially <br /> Q, hazardous food 1 2 <br /> Inadequate cooking temperatures/practices 3 4 A <br /> E•- — <br /> oImproper reheating temperatures/practices 5 6 33s <br /> 0 AMA, A�& <br /> Improper cooling practices 7 8 �y <br /> Adulturated/Contaminated food 9 10 <br /> ou <br /> c <br /> Reused/retumed food 11 12 <br /> b <br /> o Cross contamination or improper handling 13 14 <br /> o �' of Food/Utensils/Equipment <br /> w <br /> c Unapproved food source 15 16 t <br /> ail0 <br /> u- Improper thawing of potentially hazardous 17 18 <br /> food <br /> ` a III employee/cuts/rashes 19 20 n1 <br /> U N C <br /> c Lack of proper hand washing procedure 21 22A�Ida <br /> A c .f/ <br /> .Y Required sink(s)/dish washing machine 23 2461, <br /> -- removed,inoperable,inaccessible <br /> o <br /> w x w Unsanitary Food Facility Conditions- 25 26 ' <br /> Critical/Non-Critical Area <br /> Qu Hot water not available 27 2 <br /> OFc <br /> Lack of potable water supply 29 30 <br /> c <br /> 3 Improper sanitizer concentration/methods/ 31 32 r <br /> testing equipment <br /> Sewage system failure/back up 33 34 <br /> � c <br /> 00 — <br /> 3 No operable/accessible toilets 35 <br /> v � <br /> Rodent/Cockroach/Other vermin infestation 37 38 <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 /> i <br /> Food Safety Certification Required: ❑Yes❑ No Time in: m/ Time out am/ m <br /> Certificate Issued By: Date:_/_/_ Received By: v� <br /> Name on Certificate: Inspected By. <br /> EHD 16-023 <br /> 4/3/2007 See Reverse Side For Additional Information Pagel of <br />