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Time In: 10.00 am <br /> Time Out: 11:00 am <br /> oP��tk. San Joaquin County <br /> Environmental Health Department <br /> N: a X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c4.. iP• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �tFORN <br /> Food Program Complaint Inspection Report <br /> Name of Facility: WATERLOO CALIFORNIA RESTAURANT Date: 05/11/2017 <br /> Address: 10447 E WATERLOO RD, STOCKTON 95215 <br /> Owner/Operator: THOMAS,JAMES Telephone: (209)931-4019 <br /> Program Element: 1600-FOOD PROGRAM Complaint#: C00043327 <br /> DESCRIPTION OF COMPLAINT ALLEGATIONS <br /> The San Joaquin County Environmental Health Department received the following complaint: <br /> COMPLAINANT ALLEGES ON 4/20/2017 AT APPROXIMATELY 12:30 PM, PARTY OF 10 WERE SITTING IN PATIO <br /> AREA AND NOTICED A VERY STRONG URINE SMELL. <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> #29 Toxic Substances Properly Identified/Stored/Used <br /> OBSERVATIONS:Observed bottle of Keystone Aerosol Contact Pesticide,which states for use in restaurant(active <br /> ingredients: Pyrethrins, Piperonyl butoxide, plus ether and petroleum distillate. Immediately cease using insectide or toxic <br /> substance at a food facility; EHD will contact you shortly on this partiular product after further research. <br /> CALCODE DESCRIPTION:All poisonous substances, detergents, bleaches, and cleaning compounds shall be stored separate from food, <br /> utensils,packing material and food-contact surfaces. (114254, 114254.1, 114254.2) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Did not notice any urine odor patio outside or at the outside restroom. Interviewed server who's familiar with complaint. She <br /> stated complainant at one point mentioned to her the odor may be from one of the"older ladies"within the party or adjacent to <br /> them. <br /> OIR emailed to'pkheiser@comcast.net' <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> r <br /> Received by: Name and Title: maureen brinkley, bartender <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0001090 C00043327 SCO04 05/11/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Complaint Inspection Report <br />