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1600 - Food Program
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PR0507997
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COMPLIANCE INFO
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Entry Properties
Last modified
5/22/2020 2:19:05 PM
Creation date
4/19/2019 2:51:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0507997
PE
1626
FACILITY_ID
FA0007873
FACILITY_NAME
Mountain Mike's Pizza
STREET_NUMBER
728
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
728 W Kettleman Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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�o..tQ .coG SAN JOAQUIN COUNT- <br /> y� rzNVIRONMENTAL 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 <br /> Name of Facility: C 05CA I <br /> #� Date: _6.- S <br /> Address: $ W� keliketAae, Lrn • City' -,J a Zip Code: 4),SZ 41,2� <br /> Owner/Operator: <br /> ar-.{-t i1 eZ- t-I c:. GucLcc lu Telephone: <br /> Program Element: l 2-(-- Program Record: l :07 9 5 7 Inspection Type: ,r�- <br /> SB180 Posted Yes No Permit Posted `-�-Yes No Re-Inspection on or After: <br /> IN=In Compliance N/O=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 ublic health and must be corrected immediatel . Non-compliance ma warrant closure of the food facility <br /> i u Demonstration of Knowledge MA OUT CCAS <br /> g Supervision out <br /> Demonstration of knowledge;food safety certificate ( 24. Person In Charge is present and pe orms dunes <br /> Employee Health and Hygiene Personal Cleanliness <br /> Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints <br /> No discharge from eyes,nose,or mouth;no open wounds General Food Safety Requirements <br /> Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used <br /> Preventing Contamination by Hands 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 /> rx�. Time and Temperature Relationship � � �� Food StaragefDisplaylServlee <br /> 7. Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled <br /> 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 /> 10. Proper cooking time and temperatures w£gttf W ss as <br /> 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean <br /> Q Protection From Contamination 34. Warewashing facilities maintained;test strips available <br /> 12. No re-service of returned food 35. Equipment/utensils approved;installed;clean;good repair �L <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 /> 141, <br /> 5. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible <br /> 6. Compliance with shell stock regulations;tags/display 0. Proper use and storage of wiping cloths <br /> 7. Compliance with Gulf oyster regulations Physical Facilities <br /> Conformance With Approved Procedures 41. Plumbing maintained;proper back flow prevention <br /> a. Compliance with HAC:CP 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 77 1 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 <br /> Water/Hot Water 46. No living or sleeping quarters inside facility <br /> 1.Hot and cold potable water available. <br /> ����� ',�Camptiance and Enforcement <br /> Liquid Waste Disposal 47. Signs posted;last inspection report available <br /> �2. Sewage/wastewater properly disposed,toliet facility useable 48. Compliance with plan review requirements <br /> Vermin 49. Facility operating with a valid health permit <br /> 3. No rodents,insects,birds or animals inside facility 1 L 50. Impoundment <br /> 51. Permit Suspension <br /> Received By/Title: , <br /> EH Specialist: , r Phone: ,7 Y� Page 1 of <br /> EHD 16-23 (1st pg) 4/9/12 FOOD PROGRAM OIR <br />
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