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o :ulrv.`r SAN JOAQUIN COUNTY <br /> ` ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton,CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility:YOU/ I-5 FrL`1 J Date: <br /> Address: S - City: S* Zip Code: CiS"� O <br /> Owner/Operator: Telephone: '-49-3 -3b[I 1` <br /> Program Element: r Program Record: 's R�o30� Inspection Type: 1=;-k7-t1 <br /> SB180 Posted ❑Yes X No Permit Posted KYes ❑ 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 timeIX correction as noted. <br /> Critical Risk Factors. Ma or Minor The marked violations represent Health d Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially 1 2 <br /> CL hazardous food <br /> E <br /> Inadequate cooking temperatures/practices 3 4 v/ O <br /> o Improper reheating temperatures/practices 5 6 <br /> 0 <br /> w <br /> Improper cooling practices 7 8 <br /> Adulturated/Contaminated food 9 10 <br /> ao <br /> e <br /> Reused/retumed food 11 12 is O47 <br /> c Cross contamination or improper handling <br /> O x of Food/Utensils/Equipment 13 14 ,17 ,5 <br /> w <br /> c Unapproved food source 15 16 <br /> w Improper thawing of potentially hazardous <br /> food 17 18 <br /> III employee/cuts/rashes 19 20 <br /> e> y C <br /> G <br /> '= 2 Lack of proper hand washing procedure 21 22 <br /> Cd 2 <br /> Required sink(s)/dish washing machine 3 24 <br /> °o •� removed,inoperable,inaccessible dJ� <br /> u. x w Unsanitary Food Facility Conditions- <br /> CriticaVNon-Critical Area 25 26 14 kJ <br /> L� <br /> Hot water not available 27 28 LNC <br /> e_ <br /> v N <br /> v! Lack of potable water supply 29 30 <br /> 3 ° <br /> Improper sanitizer concentration/methods/ <br /> testing equipment <br /> 31 32 <br /> Sewage system failure/back up 33 34 <br /> � c <br /> 3 as E No operable/accessible toilets 35 36 <br /> `n > Rodent/Cockroach/Other vermin 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 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 /> Food Safety Certification Required: El Yes No Time in: a /pm Time out: /474-,O� a pm <br /> Certificate Issued By: Date:_/_/_ Received By: <br /> Name on Certificate: Inspected By: <br /> EHD 16-023 <br /> 413/2007 See Reverse Side For Additional Information Page Iof <br />