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SAN JOAQUIN COUNTY <br /> q ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s ov.or /ehd <br /> �iFORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �"� GK _ Date: <br /> Address: G P 2 City, rG C Zip Code: <br /> OwnerlOperator: T -rr� ('t 3 Telephone: <br /> Program Element: b�S Program ecoid: Inspection Type: <br /> 14 <br /> B180 Posted Yes ❑ Rermit Posted V/Yes ❑t Re-Inspection on or After: <br /> IN=In Compliance N/O=Not Observed NIA=Not Applicable COS=Corrected on-site MAJ=Major Violation OUT=Not in Compliance <br /> See reverse side for code sections and general requirements that correspond to each violation listed below. 3 <br /> Major violations pose a threat to Rublic health and must be corrected immediate) . Non-com fiance may warrant closure of the food facility <br /> sem: ��• v;,, i <br /> 1. Demonstration of knowledge;food safety certificate - X 4. Person In Charge is present and performs duties } <br /> Y Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints <br /> No discharge from eyes,nose,or mouth;no open wounds ---.-° <br /> 9 y P � <br /> Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used <br /> 7. Food protected from contamination during storage <br /> Hands clean and properly washed;proper glove use 28. Washing fruits and vegetables before use <br /> ' Handwashing facilities supplied and accessible 29. Toxic substances properly identified,stored,and used <br /> �: d`: <br /> 7. Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled <br /> 8. Proper use of time as a public health control 31. Customer self-service food protected;individual utensils provided <br /> X . Proper cooling methods 32. Food properly labeled and honestly presented <br /> w. <br /> 10. Proper cooking time and temperatures „-,qtr•,•� ;"' <br /> 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean <br /> 34. Warewashing facilities maintained;test strips available i <br /> 12. No re-service of returned food 35. Equipmentlutensils approved;installed;clean;good repair <br /> X 13. Food free from contamination and adulteration 36. Equipment,utensils and linens:storage and use X <br /> 14. Food contact surface cleaned and sanitizedlwarewashing procedures 37. Vending machines maintained <br /> 15. Food obtained <br /> �_ .;�'.,,. ,:,,... . <._r_,= � •.; ..'-n:q_b-���?�` 38. Approved and sufficient ventilation and lighting <br /> from approved source 39. Thermometers provided,accurate,and easily visible <br /> 16. Compliance with shell stock regulations;tags/display 40. Proper use and storage of wiping cloths <br /> 17. Compliance with Gulf oyster regulations ;, j >, 4 <br /> ._, v= ',,,' I¢ iG 1. Plumbing maintained;proper backflow prevention <br /> xi 1 <br /> 18. Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed <br /> 3. Toilet facilities clean,supplied,and maintained <br /> 19. Advisory provided for raw or undercooked food 4. Premises;personal/cleaning items;vermin-proofing <br /> 0. Prohibited foods not offered at high risk facilities 45. Floors,walls and ceiling are maintained and kept clean x <br /> s <br /> 6. No living or sleeping quarters inside facility � <br /> 1.Hot and cold potable water available. <br /> 3 z:. 7. Signs <br /> posted;last inspection report available <br /> AIM2. Sewage/wastewater properly disposed;toilet facility useable 48. Compliance with plan review requirements <br /> 9. Facility operating with a valid health permit i <br /> ° <br /> W43. No rodents,insects,birds or animals inside facility 50. Impoundment <br /> 51. Permit Suspension <br /> Received By/Title: <br /> Q C.e.2 e-e- <br /> EH Specialist: Phone: 6 P� �/ Page 1 of� <br /> 0 (9 } <br /> EHD 16-23 (1st pg) 419112 FOOD PROGRAM 01R <br /> S <br />