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SAN JOAQUIN COUN' <br /> X ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT P14 C <br /> Name of Facility: m hy YJ Ca -_P_ (2,, 1 4-e r- Date: 2_0 <br /> Address: City: <br /> lo�(40 Rctc4q;-c_ A-j-p_ Is+0 C-4-I--fD nZip Code: 41(5 20 7 <br /> Owner/Operator: eylclo Y- H"4A4-h C.Ar-r- L-L-io Telephone: H-7-7_ -21-7 <br /> Program Element: 102-1 ProgramRecord: 05R-7 2-C� Inspection Type: Roul, <br /> 8180 Posted �Laq_ <br /> -4,-Yes No Permit Posted)k Yes No Re-inspection on or After: 3Xn n_\1 "5 1 <br /> IN=In Compliance N/0=Not Observed N/A=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 pose a threat to 1?ublic health and must be corrected immediate! . Non-compliance ma X warrant closure of the food facility <br /> Jill I VAJ sion <br /> Demonstration of Knowledge 01 COS Supervi <br /> 1. Demonstration of knowledge,food safety certificate 24. Person In Charge is present and performs duties <br /> Employee Health and Hygiene Personal Cleanliness <br /> Communicable disease,reporting,restrictions 25. Personal cleanliness and hair restraints <br /> ........ .... <br /> 3. No discharge from eyes,nose,or mouth:no open wounds General Food Safety Requirements <br /> Irv/ 4. Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used <br /> Preventing Co nta m i nation*y Elands 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 used <br /> Time and Temperature Relationship <br /> Food Storage/Display/Service <br /> Vi I Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled <br /> V6. Proper use of time as a public health control 31. Customer self-service food protected;individual utensils provided <br /> Proper cooling methods 32. Food properly labeled and honestly presented <br /> V" 10. Proper cooking time and temperatures .;I- I I I <br /> Equipment'/'Utensils i' inena <br /> V 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean <br /> Protection From CotrYteininefionl 34. Warewashing facilities maintained;test strips available <br /> 12. No re-service of returned food 35. Equipmentlutensils 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 sanitized/warewashing procedures 37. Vending machines maintained <br /> Food From Approved Source 38. Approved and sufficient ventilation and lighting <br /> 15. Food obtained from approved source 39- Thermometers provided,accurate,and easily visible <br /> 6. Compliance with shell stock regulations;tags/display 40. Proper use and storage of wiping cloths <br /> 7. Compliance with Gulf oyster regulations Physical Faeflities <br /> Conformance With Approved procedures 41. Plumbing maintained:proper back flow prevention <br /> 11.1�8. Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed <br /> Consumer Advisory 43. Toilet facilities clean,supplied,and maintained <br /> 19 Advisory provided for raw or undercooked food 44. Premises;personal/cleaning items;vermin-proofing <br /> Highly Susceptible Populations Permanent Food Facilities <br /> �0. Prohibited foods not offered at high risk facilities 45. Floors,walls and ceiling are maintained and kept clean V11 <br /> Water/Hot Water� "1 46. No living or sleeping quarters inside facility <br /> 1.Hot and cold potable water available. LT7 - Compliance and Enforcem,ent <br /> Uquid Waste Disposal 7. Signs posted;last inspection report available <br /> 2. Sewage/wastewater properly disposed;toilet facility useable 48. Compliance with plan review requirements <br /> Vermin 9. Facility operating with a valid health permit <br /> k3. No rodents,insects,birds or animals inside facility 50. Impoundment <br /> 51. Permit Suspension <br /> Received By[Title: <br /> DQ r <br /> I <br /> CtA 11 tHspeciaiist - Phone:�_z X q53, 0 2 1 Page 1 of <br /> EHD 16-23 (1st pg) 419!12 0 FOOD PROGRAM,OIR <br />