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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br />, <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />`'%�'.i;'t�,"•�•L'i.i- Dnj�%nn Axx nL'T,If' TAI TwcPVCT1nN RF.PnRT <br />Name of Facility: 44 44v 1;,, <br />v/V/ -L�i¢U I�6S U2 ��v <br />Date: <br />Address: 1 < FL <br />TJoRnL-.b City: 5 -Zl4,C <br />Zip Code: Frc c:> <br />Owner/Operator:Telephone: <br />2 <br />©A / <br />Program Element: /(,c> 2 <br />Program Record:5Q�y78 <br />Inspection Type: /�/ dW <br />SB180 Posted [7Tes--El No <br />Permit Posted Yes ❑ <br />Reinspection on or After: <br />7c,,.hfi'sh.ent. <br />ms marked and/or listed below are violations detailed in the California Health & Safety Code (Cl ISC), commencing §113700. "Major" is a critical violation that <br />an imminent risk to public health. Unless otherwise specified, violations marked "Major" must be corrected immediately or warrant immediate closure of the food <br />"Minor" indicates a violation that does not pose an imminent public health risk, but warrants timelycorrection as noted. <br />Critical Risk Factors <br />N I aj or <br />Minor <br />Che marked violations represent Health & Safety Code Violations and must be corrected as follows: <br />Improper holding temperature of potentially <br />i <br />2 <br />/ p� <br />hazardous food <br />/l <br />CL <br />P�5T7P/ <br />aBi <br />Inadequate cooking temperatures/practices <br />3 <br />4 <br />77tf/4: IN�Wj->WF41 USE enM <br />E~ <br />c <br />Improper reheating temperatures/practices <br />5 <br />6 <br />PRCN>EA Ij �lL (jj�!! r <br />0 <br />w <br />Improper cooling practices <br />g P <br />7 <br />8 <br />1Z)O <br />Adulturated/Contaminated food <br />9 <br />10 <br />]a/�C d �A/E� �(t�(i ,bs 1 )15,81 67- 9kb C•&hf!< 4� <br />ao <br />c <br />v <br />Reused/returned food <br />11 <br />12 <br />601T51 <br />o <br />0 <br />Cross contamination or improper handling <br />of Food/Utensils/Equipment <br />13 <br />4 <br />!tit I /l� D /U Tf du73r <br />a. <br />o <br />Unapproved food source <br />15 <br />16 <br />0 <br />LT. <br />Improper thawing of potentially hazardous <br />7 <br />18 <br />food <br />Ill employee/cuts/rashes <br />19 <br />20 <br />e6 -p <br />S Tri MEiq 0�o o R .4lQ�!¢ <br />� y G <br />c•Z <br />Lack of proper hand washing procedure <br />21 <br />22 <br />1y h ole ! - <br />x .>1 <br />Required sink(s)/dish washing machine <br />23 <br />24 <br />rr ��J/-7 P/fl�e <br />o 7- <br />removed, inoperable, inaccessible <br />ULC <br />w x <br />Unsanitary Food Facility Conditions - <br />25 <br />26/ <br />C,(L 10f**7EtPY <br />�11V�Eti <br />Critical/Non-Critical Area <br />Hot water not available <br />27 <br />28 <br />'0� &R } <br />Lack of potable water supply <br />29 <br />30 <br />o <br />/ T �9rj /•T' I�' P57" & 1?6 0 00-0 4) /T11 A 9/6100 -b <br />3 <br />Improper sanitizer concentration/methods/ <br />31 <br />32 <br />/3 �,( Q J.6 R(ic Z4)v I 1 <br />testing equipment <br />Sewage system failure back up <br />33 <br />34 <br />d R To RCTURN 301 E� lt�F I3E IiV� <br />0 G <br />6u <br />No operable/accessible toilets <br />35 <br />36//.j <br />O�t7� N647 OLdy6� /�(VQRf�tL <br />Rodent/Cockroach/Othervermin infestation <br />37 <br />38 <br />"-V <br />nK TO sSuE Fl6k)y/T OWC- lI- 5� <br />ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF SAN JOAQUIN COUNTY BOARD OF JUPERVISURS. ALL <br />DOCUMENTED CRITICAL HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT TO A REINSPECTION AND REINSPECTION FEE. ALL UNPAID CHARGES <br />ASSnciATFD WITH THE FACILITY OWNER OF RECORD OR APPLICANT SHALL BE PAID PRIOR TO THE ISSUANCE OF A PERMIT TO OPERATE. <br />ITEM/LOCATION I TEMP <br />/4f <br />ITEM/LOCATION TENIP <br />ITEM/LOCATION I TEMP <br />Food Safety Safety Certific n Required: Yes ❑ No OA Time in: 3 am/pm Time out: �6 !�a n/pm <br />Certificate Issuedi�� <br />/0.'2s"�� Date: _/_/_ Received By: G <br />Name on Certificate: PRDV l t7 a IS V 11'2500. Inspected By: <br />EFID 16-023 <br />3/17/2004 See Reverse Side For Additional Info <br />t i " Page 1 of <br />