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SAN JOAQUIN COUNT"- <br /> ENVIRONMENTAL HEALTH ❑E4TMENT F <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 } <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.siaoV.orQ/eFtd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facifity: 0ay- Date: ��g <br /> Address: L(044 . , 1 Y,.e mz v L City: .0 _IV� Zip Code: <br /> Owner/Operator: vOL anT `J Telephone: <br /> Program Element: kply Program Record: P R O 6 2 Inspection Type: t� "4i <br /> VFW,W Posted Yes No Permit Posted Yes No Re-inspection on or After: <br /> IN=In Compliance N10=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 /> Major violations cose a threat to Eublic health and must be corrected immediately. )Yon-corn liance mm warrant closure of the food facilityf <br /> 6 7#A tttrla rffs DSN4 pervis " <br /> 1. demonstration of knowledge;food safety certificate 24. Person!n Charge is present and performs duties <br /> _ ITIS <br /> Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints <br /> No discharge from eyes,nose,or mouth;no open wounds <br /> Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used <br /> rotected from contamination Burin stars e <br /> ~ P 9 9 <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 /> WXh. <br /> Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled <br /> Proper use of time as a public health control r 31. Customer self-service food protected;individual utensils provided <br /> 9. Proper cooling methods 32. Food properly labeled and honestly presented <br /> 10. Proper cooking time and temperatures -. i - '' -.,� <br /> 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean <br /> " p ' 34. Warewashing facilities maintained;test strips available <br /> 12. No re-service of returned food 35. Equipmentlutensils approved;installed;clean;good repair <br /> 13. Food free from contamination and adulteration 36. Equipment,utensils and linens:storage and use <br /> 14. Food contact surface cleaned and sanitizedlwarewashing procedures 37. Vending machines maintained <br /> NOW-_- •.wish ft <br /> _ � v e. ., B. Approved and sufficient ventilation and tfghting <br /> '^ ` 15. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible <br /> 16. Compliance with shell stack regulations;tags/display 40. Proper use and storage of wiping cloths <br /> 17. Compliance with Gulf oyster regulations $ ' <br /> 1. Plumbing maintained;proper back flow prevention <br /> _ 8. Compliance with HACCP plan or variance conditions < 2. Garbage and refuse properlydisposed <br /> : a 3. Toilet facilities clean,supplied,and maintained <br /> 9. Advisory provided for raw or undercooked food 44. Premises;personalicleaning items;vermin-proofing <br /> _ nsS _ swam <br /> erm8 piD <br /> 0. Prohibited foods not offered at high risk facilities 45. Floors,walls and ceiling are maintained and kept clean <br /> 6. No living or sleeping quarters inside facility <br /> 1.Hof and cold a _ _ <br /> potable water available. <br /> p 4 - <br /> m 7. Signsposted:last inspection report available <br /> 2. sewagelwastewater properly disposed;toilet facility useable 48. Compliance with plan review requirements <br /> .r 9. Facility operating with a valid health permit <br /> 3. No rodents,insects,birds or animals inside facility Impoundment <br /> 51. Permit Suspension <br /> Received Bylritle: <br /> EH Specialist: Phone: �/ Page t of l <br /> EHD 1623 (1st pg) 419112 l FOOD PROGRW OIR <br /> it <br /> i <br /> a -- <br />