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mg SAN JOAQUIN COUNT LNVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd FOOD PROGRAM OFFICIAL INSPECTION REPORT Name of Facility: J Date: Address: D L� City: Zip Code: Owner/Operator. G lam, ., �y .1 P\ //1 .., _„ Telephone: Program Element: Program Recorld: l ( Inspection Typer i �( t. B180 Posted ;'Yes No Permit Posted ;,Yes No Re-Inspection on or After: IN=In Compliance N/O=Not Observed N/A=Not Applicable COS=Corrected on-site MAJ=Major Violation OUT=Not in Compliance See reverse side for code sections and general requirements that correspond to each violation listed below. Major violations pose a threat to ublic health and must be corrected immediatel . Non-coin fiance may warrant closure of the food facility iN xo wnemonstratien of Itnawledge taxi rur cos Supervision 001; Demonstration of knowledge,food safety certificate 1-7 24. Person In Charge is present and performs duties Employee Health and Hygiene Personal Cleanliness Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints 3. No discharge from eyes,nose,or mouth;no open wounds General Fond Safety Requirements Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used Preventing Contamtc>uw'< iy Hands . ,. `" 7. Food protected from contamination during storage Hands clean and properly washed;proper glove use 28. Washing fruits and vegetables before use Handwashing facilities supplied and accessible 29. Toxic substances properly identified,stored,and used Time and Temperature�Retationsttip �� ' ,. , ,, _ Faot Storage$Dtsn1 :.,. Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled Proper use of time as a public health control 31. Customer self-service food protected;individual utensils provided Proper cooling methods 32. Food properly labeled and honestly presented 10. Proper cooking time and temperatures Equipment')"Utensils f Linens`` 1. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean ~,- ? 'rotes#fan From`Corita ninett x 34. Warewashing facilities maintained;test strips available � .� 12. No re-service of returned food 35. Equipment/utensils approved;installed;clean;good repair yr 13. Food free from contamination and adulteration 36. Equipment,utensils and linens:storage and use 14. Food contact surface cleaned and sanitized/warewash ing procedures 37. Vending machines maintained Food From Approved Source 38. Approved and sufficient ventilation and fighting 15. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible 16. Compliance with shell stock regulations;tags/display 40. Proper use and storage of wiping cloths ;; T7. Compliance with Gulf oyster regulations Physical Facilities Corifnrmance With Approved;Procedures 1. Plumbing maintained;proper back flow prevention 18. Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed r . consumer Advisory 43. Toilet facilities clean,supplied,and maintained 9. Advisory provided for raw or undercooked food 44. Premises;personal/cleaning items;vermin-proofing Highly-Susceptible i� pulations -' '' Permanent Food Facilities D. Prohibited foods not offered at high risk facilities 45. Floors,walls and ceiling are maintained and kept clean Water 1Hot Water, 46. No living or sleeping quarters inside facility r' 1.Hot and cold potable water available. .Compliance anilEnforcement Liquid Waste Disp�v_ ��- � � 7. Signs posted;last inspection report available 2. Sewage/wastewater properly disposed;toilet facility useable 48. Compliance with plan review requirements Vermin9. Facility operating with a valid health permit 3. No rodents,insects,birds or animals inside facility 50. Impoundment 51. Permit Suspension Received By/Title: ; EH Specialist: / L Phone: Page 1 of EHD 16-23 (1st pg) 41912 FOOD PROGRAM OIR