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SAN JOAQUIN COUN <br /> I0: <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:vrvW.sigov.orq/ehd <br /> tlFOSi <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 50I mbt.r V-*-+ Date: <br /> s <br /> Address: "I (Y)QA( SOn &F <br /> _ZiCity: 1 _ C �n p_Code: <br /> Owner/Operator: ^ _I L,� ' L" Telephone: �Lf&(0_5I 7 2- <br /> Program <br /> Program Element: I l Program Record: (2 M 0 l to,rP(P Z Inspection Type: '-- i <br /> B180 PostedYes 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 2ose a threat to Eublic health and must be corrected immediate) . Non-com liance may warrant closure of the food facility <br /> an'Wo VA < flernranstration of Knowledge : out cos Supervision a 7. <br /> Demonstration of knowledge;food safety certificate :7 24. Person In Charge is present and performs duties <br /> Employee health and Hygiene Personal Cleanliness <br /> Communicable disease,reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints <br /> ,3. No discharge from eyes,nose,or mouth;no open wounds I General Food Safety Requirements <br /> Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used <br /> Preventing Contaminatiota py 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 2.9. Toxic substances properly identified,stored,and used <br /> `Time and Temp era ` Aaod Stora is 1a 1Servlce <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 Equipment'f Utensils f i.i, <br /> 1. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean <br /> Protection From Contamination 34. Warewashing facilities maintained;test strips available <br /> 2. No re-service of returned food 35. Equipment/utensils 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 sanitized/warewash i rig procedures 37. Vending machines maintained <br /> Food From'Approved Source 38. Approved and sufficient ventilation and lighting <br /> 15. Food obtained from approved source x 39. Thermometers provided,accurate,and easily visible <br /> 6. Compliance with shell stock regulations;tags/display 40. Proper use and storage of wiping cloths <br /> Com Pliance with Gulf oyster regulations <br /> .. . ,.. Physical,Facifiti+es <br /> Conformance With Approved Procedures, ,�� 1. Plumbing maintained;proper back flow prevention <br /> im Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed <br /> :; „ ,; ,r�i0[75itmer-Advisot "r~> 43. Toilet facilities clean,supplied,and maintained <br /> 01 <br /> 19. Advisory provided for raw or undercooked food 44. Premises;personal/cleaning items;vermin-proofing <br /> HiqNy,Susceptipfle Populations Permanent Food Facilities <br /> Prohibited foods not offered at high risk facilities 45. Floors,walls and ceiling are maintained and kept clean <br /> Water/Hot 46. No living or sleeping quarters inside facility <br /> 1.Hot and cold potable water available. Co <br /> mp3iance and Enfotcemexlt <br /> liquid Waste N 47. Signs posted;last inspection report available <br /> 2. Sewage/wastewater properly disposed;toilet facility useable 48. Compliance with plan review requirements <br /> Vermin W9. Facility operating with a valid health permit <br /> 3. No rodents,insects,birds or animals inside facility 50. Impoundment <br /> 51. Permit Suspension <br /> Received By/Title: <br /> EH Specialist: Phone: Page 1 of <br /> a cs - - Iz�.� >'� <br /> EHD 16.23 (1st pg) 4/9/12 FOOD PROGRAM OIR <br />