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�"r" SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> �. / <br /> v= 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c �p Telephone:(209) 468-3420 Fax:(209) 464-0136 Web:www.sigov.org/ehd <br /> 4�JkoAi' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: d n r G r. , Date: <br /> i Address: 11 L� l _ 1 h; K t G h City: �i� I Zip Cade: <br /> `f W n 7 t <br /> Owner/Operator: lJ S• G 5 Telephone: <br /> Program Element: Program Record: IJP 01 tf y Inspection Type: Gbt a n f <br /> 6180 Posted XYes ❑ No Permit Posted ❑: s ❑ No 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. <br /> Ma or violationsose a threat to ublic health and must be corrected immediately. Non-compliance may warrant closure of the food facility <br /> 1. Demonstration of knowledge;food safety certificate 4. Person In Charge is present and performs duties <br /> Emp1 cayee ttealtdlgi olt� _ __ lrso GtetaGness <br /> Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints <br /> f <br /> No discharge from eyes,nose,or mouth;no open wounds 1j,FoOct Fait X14 <br /> 9 Y P �... .. <br /> << Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used <br /> PaRevertlktg Cartllattt►trf „„ -°.,- 7. Food protected from contamination during storage <br /> - '71". <br /> . Hands clean and properly washed;proper glove use 28. Washing fruits and vegetables before use <br /> =: ..,. <br /> f6. Handwashing facilities supplied and accessible 29. Toxic substances properly identified,scored,and used <br /> ..:; °.o<� • ="1'�ttle ats��`esn�rafure;f�i�t�t1�'t�'k__ °` :° � i��tgeml�s�yl�ennce. <br /> Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled <br /> Proper use of time as a public health control 1. Customer self-service food protected;individual utensils provided <br /> Proper cooling methods 2. Food properly labeled and honestly presented <br /> 10. Proper cooking time and temperatures g �n;1f13i, 1� Lffs'`" <br /> ,t 11. Proper reheating procedures for hot holding s 3. Nonfood contact surfaces clean <br /> x <br /> " "" 4. Warewashin facilities maintained;test strips available <br /> Pr�'t�ctroh:FtV�rllOotli�frtr i�tt#; 9 P <br /> 12. No re-service of returned food 35, Equipmentlutensils approved;installed;clean;good repair x <br /> X ie; 13. Food tree from contamination and adulteration 36. Equipment,utensils and linens:storage and use <br /> 14. Food contact surface cleaned and sanilizedlwarewashing procedures 37. Vending machines maintained <br /> F�uod f=rom m.Ap� <br /> a 8. Approved and sufficient ventilation and lighting tt�ued ske <br /> 15. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible <br /> 16. Compliance with shell stock regulations;tagstdisplay 40. Proper use and storage of wiping cloths <br /> 17. Compliance with Gulf oyster regulations B <br /> �':... <br /> Oottlorr3la '. 11et 1. Plumbing maintained;proper back flow prevention <br /> 18. Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed <br /> Toilet facilities clean,supplied,and maintained <br /> 19. Advisory provided for raw or undercooked food 44. Premises;personal/cleaning items;vermin-proofing <br /> Hi1a1 .SustpfbdePlappiat<tstt m f� tattetaood Facil�ffes, <br /> su Prohibited foods not offered at high risk facilities 45. Floors,walls and ceiling are maintained and kept clean <br /> 6No living. ..... . g or sleeping P 9 quarters inside facility <br /> 1.Hot and cold potable water available. <br /> iar1riictrcrtisn� <br /> inspection report available <br /> C2iSSC�rasaE :,.,. .....,- ......._ .. ns posted;last <br /> 7. Si 9 P <br /> 2. Sewagelwastewater properly disposed;toilet facility useable 48. Compliance with plan review requirements <br /> m <br /> y 9. Facility operating with a valid health permit <br /> �,.. 3. No ro nts,insects,birds or animals inside facility 50. Impoundment <br /> 1151. <br /> Permit Suspension <br /> RFOOD PROGRAM OIR <br /> eceived B /Tit! <br /> EH Specialis : _ Phone: 414 4. 3 / of <br /> V Page 1 <br /> EHD 5623 (1st pg) 4!9112 ,l f, <br />