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�oQq"'N. ca SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br /> • (209)468-3420•Fax:(209)464-0138• Web:www.co.san-joaquin.ca.us/ehd <br /> P <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 51 5 W1-4U S ' a4sies Date: k <br /> Address: L 4111 W h, it, . 'AlL City: � Zip Code: <br /> Owner/Operator: Vo Telephone: q 7 S - <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted ❑ Yes ❑ No Permit Posted ❑Yes ❑No Time In: 3.Z1M Time Out: <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 public health risk,but warrants timely correction as noted. <br /> Critical Risk Factors 11a or Miw The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially p / j <br /> a hazardous food 1 2 CaVI Vt W.v\-L bL(AN A.C.L <br /> i3 <br /> a, Inadequate cooking temperatures/practices 3 4 <br /> F <br /> o Improper reheating temperatures/practices 5 6 L A u�t I .. <br /> Improper cooling practices 7 8 <br /> Adulturated/Contaminated food 9 10 <br /> co <br /> c <br /> Reused/returned food 11 12 �} <br /> o Cross contamination or improper handling 13 14 <br /> ''J x of Food/Utensils/Equipment i' zu-e-2 q C 1 j(,107 <br /> o Unapproved food source 15 16 S <br /> 0 <br /> Improper thawing of potentially hazardous 17 18 <br /> food <br /> d Ill employee/cuts/rashes 19 20 <br /> G a Lack of proper hand washing procedure 21 22 <br /> .� Required sink(s)/dish washing machine 23 24 <br /> 0 removed,inoperable,inaccessible <br /> w x w Unsanitary Food Facility Conditions- <br /> Critical/Non-Critical Area 25 26 <br /> Hot water not available 27 28 <br /> E- <br /> d N <br /> c�! Lack of potable water supply 29 30 4 Litt e F S <br /> 3 <br /> rn Improper sanitizer concentration/methods/ <br /> testing equipment 31 32 d i-i 1( 7' ",e— <br /> 0 a Sewage system failure/back up 33 34 <br /> E No operable/accessible toilets 35 36 <br /> 3 <br /> 0 <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 /> j LNL <br /> 3 e <br /> Food Safety Certifica ion Required: Yes❑ No Reinspection on or A E r: 4 1Z <br /> Certificate Issued By: Date:_!_/_ ReceivedBy: <br /> Name on Certificate: ,E.H.S.: <br /> EHD 16-02-023 <br /> 9/9/03 See Reverse Side For Additional Information Page Iof_� <br />