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oP...1..N SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> `j 304 East Weber Avenue, 3rd Floor, Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: -77-Tv(r C.>o Date: <br /> Address: I LPT4 <br /> C_, r 1 7' City: 2,x-(1 Zip Code: 7�3� <br /> Owner/Operator: HL. j —rSf&AJ &4�PCt.P Telephone: 70 <br /> Program Element: Program Record: Inspection Type: t{W t4b,�P,C AjV,_ <br /> SB180 Posted Permit Posted El Yes E3 No Reinspection on or After: <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 public health risk,but warrants timely correction as noted. <br /> Critical Risk Factors M.ior I Minor The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially 1 2 <br /> a hazardous food AA <br /> Inadequate cooking temperatures/practices 3 4 � Z-K &AIIA b /pZiV b <br /> E•- <br /> o Improper reheating temperatures/practices 5 6 <br /> 0 <br /> w - d K i o (0 "P6 cooling practices 7 8 <br /> Adulturated/Contaminated food 9 10 /(Jd ��lhlN ID <br /> oq <br /> c <br /> — Reused/retumed food 11 12 <br /> v <br /> o Cross contamination or improper handling 13 14 <br /> of Food/Utensils/Equipment <br /> o Unapproved food source 15 16 <br /> 0 <br /> �- Improper thawing of potentially hazardous <br /> 17 18 <br /> food <br /> ` - III employee/cuts/rashes 19 20 <br /> Lack of proper hand washing procedure 21 22 <br /> x Required sink(s)/dish washing machine <br /> 23 24 <br /> o ! — removed,inoperable,inaccessible <br /> w x w Unsanitary Food Facility Conditions- 25 26 <br /> Critical/Non-Critical Area <br /> ,Q Hot water not available 27 28 <br /> c <br /> �i Lack of potable water supply 29 30 <br /> 3 <br /> Improper sanitizer concentration/methods/ <br /> 31 32 <br /> testing equipment <br /> Sewage system failure/back up 33 34 <br /> a> c <br /> en •- <br /> 3 qv No operable/accessible toilets 35 36 <br /> 9 Rodent/Cockroach/Othervermin infestation 37 38 <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF SAN JOAQUIN COUNTY BOARD OF SUPERVISORS. ALL <br /> DOCUMENTED CRITICAL 14FALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT TO A REINSPECTION AND RETNSPECTION 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 /> ITEWIOCATION TEMP ITEmILOCATION TEMP ITEmfLOCATION TEMP <br /> Food Safety Certification Required: ayes❑ No Time in: . am Time out: Z102 am/pm <br /> Certificate Issued By: 56k V SffE Date:_/_/_ Received By: <br /> Name on Certificate: NE! M.0 CA � � Inspected By: <br /> -E/V <br /> �— <br /> EHD 16023 <br /> 3117/2004 See Reverse Side For Additional Inf Cr at n Page Iof <br />