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,o�a .soG SAN JOAQUIN COUNT' CNVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <<FOR FOOD PROGRAM OFFICIAL INSPECTION REPORT Name of Facility: M-e h cA, Date: Address: L1 ' City: �C)'n[ Zip Code: '?s 0 Owner/Operator: h --G` Telephone: b_ 2 Z7 2-- Program Program Element: IL 2-LPr gram Record: Inspection Type: fZok f/14 8180 Posted ,?Yes No Permit Posted U'es No Re-Inspection on or After: IN=In Compliance N/O=Not Observed N/A=Not Applicable COS=Corrected on-site MAJ=Major Violation OUT=Not in Compliance See reverse side for code sections and general requirements that correspond to each violation listed below. Ma"or violations pose a threat to ublic health and must be corrected immediate) . Non-corn fiance may warrant closure of the food facility Vo * � Demonstration of Knowledge _ and our co Supervisl� j` 1. Demonstration of knowledge,food safety certificate 24. Person In Charge is present and performs dunes Employee Health and Hygiene Personal Cleanliness Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints No discharge from eyes,nose,or mouth;no open wounds General Food Safe 9 Y P t3+R et +it+ements "L 4. Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used Preventing Contamtnatio 7. Food protected from contamination during storage Hands clean and properly washed;proper glove use 28. Washing fruits and vegetables before use t Handwashing facilities supplied and accessible 29. Toxic substances properly identified,stored,and used Proper hot and cold holding temperatures Al 30. Food storage;food storage containers labeled 1 1-77- Proper use of time as a public health control 31. Customer self-service food protected;individual utensils provided Proper cooling methods 32. Food properly labeled and honestly presented 10. Proper cooking time and temperatures 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean , Y�fft frot»Ea_, 3 34. Warewashmg facilities maintained;test strips available 12. No re-service of returned food 35. Equipment/utensils approved;installed;clean;good repair 13. Food free from contamination and adulteration 36. Equipment,utensils and linens:storage and use 14. Food contact surface cleaned and sanitized/warewash ing procedures 37. Vending machines maintained _Food,Fromrroved Source:, s' 38. Approved and sufficient ventilation and lighting 15. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible 6. Compliance with shell stock regulations;tags/display 40. Proper use and storage of wiping cloths 17. Compliance with Gulf oyster regulations w � CB � Conformance With Approved Procedure 1. Plumbing maintained;proper back flow prevention 18. Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed Consumer Advisory 43. Toilet facilities clean,supplied,and maintained 19. Advisory provided for raw or undercooked food EJ 1 44. Premises;personal/cleaning items;vermin-proofing }I�tY Susceptible Populations .' Kermapti>b_„' NO A_ 0. Prohibited foods not offered at high risk facilities 45. Floors,walls and ceiling are maintained and kept clean Water Hot Wate ._ 6. No living or sleeping quarters inside facility 1.Hot and cold potable water available. N. `4Wd Waw Disposal 47. Signs posted;last inspection report available 2. Sewage/wastewater properly disposed;toilet facility useable 48. Compliance with plan review requirements °4 Vermin - „z� 9. Facility operating with a valid health permit 3. No rodents,insects,birds or animals inside facility 50. Impoundment 51. Permit Suspension Received By/Title: A EH Specialist: TV) Phone: Page 1 ofLE 2- B). -> EHD 16-23(1st pg) 4/9112 I FOOD PROGRAM OIR