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o-L \ SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3'd Floor, Stockton, CA 95202-2708 <br /> (209)468-3420•Fax:(209)464-0138• Web:www.co.san-joaquin.ca.us/ehd <br /> 9�=FO¢/ FOOD PROGRAM OFFICIAL INSPECTION REPORT 00 <br /> Name of Facility: Date: _3 0 -O C. <br /> Address: 2 ,500 yyt City: Zip Code: <br /> Owner/Operator: a Telephone: g _ Q <br /> Program Element: f ogram Record: Piq 0 Inspection Type: P <br /> SB 180 Posted ❑Yes ❑No Permit Posted ❑Yes ❑ No Time In: 00 Time Out: 2D <br /> The items marked and/or listed below are violations detailed in the California Health&Safety Code(CHSC),commencing§113700. "Major"is a critical violation that <br /> poses an imminent risk to public health. Unless otherwise specified,violations marked"Major"must be corrected immediately or warrant immediate closure of the food <br /> establishment. "Minor"indicates a violation that does not pose an imminent ublic health risk,but warrants timely correction as noted. <br /> Critical Risk Factors Major Minor The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially 1 2 <br /> R hazardous food <br /> aEi Inadequate cooking temperatures/practices 3 4 <br /> o Improper reheating temperatures/practices 5 6 <br /> c Inc-r.rv'v <br /> Improper cooling practices 7 8 &5211 42 12A 194Q I <br /> G -- <br /> Adulturated/Contaminated food 9 10 C1 Q)I-t <br /> a <br /> " Reused/returned food 11 12 Oot I—rv� r fit-.Vt[4e_ 4-4- 1 <br /> � <br /> o Cross contamination or improper handling 13 14 <br /> o x of Food/Utensils/Equipment > <br /> LL. <br /> c Unapproved food source 15 16 'F ��� 13le5 o� � 1 <br /> 0 CAJ <br /> w Improper thawing of potentially hazardous <br /> food ,� ,8 a L(- <br /> Ill employee/cuts/rashes 19 20 - � _ <br /> 18 o VAA 0.�t- CCt.5 <br /> Lack of proper hand washing procedure 21 22 <br /> x o`. Required sink(s)/dish washing machine <br /> cremoved,inoperable,inaccessible 23 24 <br /> w x w Unsanitary Food Facility Conditions- 25 26 <br /> Critical/Non-Critical Area <br /> Hot water not available 27 28 <br /> N N <br /> Lack of potable water supply 29 30 <br /> 3 <br /> A Improper sanitizer concentration/methods/ <br /> 31 32 K to <br /> testing equipment c��6 v�-' ' `•'� <br /> Sewage system failure/back up 33 34 <br /> a <br /> en <br /> 3 Q3 E No operable/accessible toilets 35 36 <br /> > Rodent/Cockroach/Other vermin infestation 371 38 <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF SAN JOAQUIN COUNTY BOARD OF SUPERVISORS. ALL <br /> DOCUMENTED CRITICAL HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT TO A REINSPECTION AND REINSPECTION FEE. ALL UNPAID CHARGES <br /> ASSOCIATED WITH THE FACILITY OWNER OF RECORD OR APPLICANT SHALL BE PAID PRIOR TO THE ISSUANCE OF A PERMIT TO OPERATE. <br /> ITEM/LOCATION TEMP ITEM/LOCATION TEMP ITEM/LOCATION TEMP <br /> 6UY a 40 <br /> Food Safety Certification Required: Yes❑ No Reinspection o r After: <br /> Certificate Issued By: 1 ♦r Date: 03 Received By ,1 <br /> Name on Certificate: )— E.H.S.: <br /> EHD 16-02-023 <br /> 9/9/03 See Reverse Side For Additional Information Pagel of <br />