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COMPLIANCE INFO_2011-2019
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1600 - Food Program
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PR0160640
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COMPLIANCE INFO_2011-2019
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Entry Properties
Last modified
9/30/2020 3:32:57 PM
Creation date
3/19/2019 9:24:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2019
RECORD_ID
PR0160640
PE
1615
FACILITY_ID
FA0001332
FACILITY_NAME
SIMON FOOD MARKET
STREET_NUMBER
201
Direction
W
STREET_NAME
POPLAR
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13714030
CURRENT_STATUS
01
SITE_LOCATION
201 W POPLAR ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
JCastaneda
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EHD - Public
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opAH!,N„ O `./ SAN JOAQUIN COUN 4 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> a Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.siaov.ora/ehd <br /> 9�rFOP� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 727; a ill at CA Date: _ <br /> ddress: ;LOO City: C J O Zip Code: <br /> wner/Operator: v T Telephone: <br /> Program Element: Program Record: DROQll Inspection Type: <br /> 8180 Posted Yes No Permit Posted Yes No Re-Inspection on or Atter: <br /> IN=In Compliance WO=Not Observed WA=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. <br /> Ma'or violations ose a threat to public health and must be corrected immediately. Non-compliance mavwarrant closure o1 the food facility <br /> Demo <br /> n<I -_ _. _ <br /> nstration of Knowledge Supervision <br /> tf Uem,n 1r ticn of n I l.)e:food Safely cedificate � 24 e son In Lh rnE i.,presr cf i N „;r n. dukes <br /> Employee Health and Hygiene Personal Cleanliness <br /> Communicable disease;reporting,restrictions 8 exclusions 25 Prr;onal clr anli n_ss and hmr i� mints <br /> No discharge from eyes,nose,or mouth;no open wounds General Food Safer,,,Requirements <br /> Proper eating,tasting,drinking,or tobacco use 26 ApF vodlha mg Ethos _a <br /> 27. 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 usetl <br /> ,Relationship Food Storage/Dispta"'. <br /> Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled <br /> Proper use of time as a public health control 31. Customer self-service food protected;individual utensiis provided <br /> Proper cooling methods 32. Food properly labeled and honestly presented <br /> . Proper cooking time and temperatures MEN! <br /> . Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean <br /> .::: .. 34. Warewashing facilities maintained;test strips available <br /> . No re-service of returned food 35. Equipment/utensils approved;installed;clean;good repair <br /> 13. Food free from contamination and adulteration 36. Equipment,utensils and linens:storage and use <br /> 14. Food contact surface cleaned and sanitizediwarewashing procedures 7. Vending machines maintained <br /> 38. Approved and sufficient ventilation and lighting <br /> 15. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible <br /> . Compliance with shell stock regulations:tags/display 40. Proper use and storage of wiping cloths <br /> Compliance with Gulf oyster regulations _-_ L Phys <br /> I� w ,.:`onformance `'Approved Pr ores 41. Plumbing mainfained:proper back flow prevention <br /> l ^i B. Compliance vnm HaCCP plan or vanance conditions 42. Garbage and refuse properly disposed <br /> Consumer Advisory -: 43. Toilet facilities clean.supplied,and maintained <br /> . Advisorv;,rovided for=ne or undercooked food 44. Premises: pErs nalcicain t.1 Aerie aermin-proofing <br /> "' "Susceptibte oj7t31ations Permanent Food Facilities <br /> rohibited foods not offered of high risk facilities - 45. Flors.vall5 4, ,dine e , M.� anes i u .c&ter 46. No living or sl Fin;;yuan ns da fe-ilityjF1ot and cold potable water available. Com lance and Enforcement <br /> Liquid Waste Disposal 47. Signs posted;last inspection report available <br /> 22. Sewojc vastcm..er properly disposedtoile,f i ill, ,iscaolc- 48. Compliance with plan review requirements <br /> Vermin 49. Facility operating with a valid health permit <br /> radepts,insects,birds or animals inside facility 0. Impoundment <br /> 1. Permit Suspension <br /> Received By/Title: , <br /> H Specialist: Phone: D _! I a - Page 1 of 2, <br /> EHD 16-23 (1st pg) 45!12 FOOD PROGRAM OIR <br />
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