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SAN JOAQUIN COUNTY <br /> ?.. ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> cq.• ;P Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s*gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: SO F <br /> 1 AO�> Date: �1 <br /> Address: ^`O t. W City: �� GLrr� / Zip Code: <br /> `�Z <br /> Owner/Operator: ouoc)�, nom) Fntm`G "aa 0-� tv �C•��' Telephone: <br /> Program Element: W� ProgramRecord: wbl�.00600Inspection Type: <br /> SB180 Posted V1 Yes ❑ Rermit Posted ❑ es ❑P 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 /> Mayor violations pose a threat"y health and must be corrected immediatelNon-compliance may warrant closure of the food facility <br /> IN 14-1e HSN Demonstration of Knowledge Supervision au- <br /> �1 Demonstration of knowledge.food safety certificate I 24 Person In Charge is present and performs duties <br /> Employee Health and Hygiene Personal Cleanliness <br /> 12 Communicable disease;reporting,restrictions&exclusions 25 Personal cleanliness and hair restraints <br /> d <br /> 13 No discharge from eyes,nose,or mouth;no open wounds General Food Safety Requirements <br /> W. 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 /> k774 <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 /> Time and;Temperature Relationship <br /> 7. Proper hot and cold holding temperatures 30 Food storage;food storage containers labeled <br /> 8. Proper use of time as a public health control 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 Equipment 1 Utensils I Linens <br /> 11 Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean <br /> 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 <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 /> `' 15. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible <br /> 16. Compliance with shell stock regulations;tags/display 0. Proper use and storage of wiping cloths <br /> 17. Compliance with Gulf oyster regulations Physical Facilities <br /> Conformance With Approved Procedures _ 1. Plumbing maintained;proper back flow prevention <br /> I 18. Compliance with HACCP plan or variance conditions 2. Garbage and refuse properly disposed <br /> Consumer Advisory 43. Toilet facilities clean,supplied,and maintained <br /> 19. Advisory provided for raw or undercooked food 44. Premises;personal/cleaning items;vermin-proofing <br /> Highly Susceptible Populations Permanent Food Facilities <br /> j �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 /> �21. Hot and cold potable water available. owl a"nte and Enforcement <br /> Liquid Waste Disposal 47. Signs posted,last inspection report available <br /> 2. Sewage/wastewater properly disposed.toilet facility useable 48. Compliance with plan review requirements <br /> renin _ 9. Facility operating with a valid health permit <br /> 3. No rodents,insects,birds or animals ins de facility 50. Impoundment <br /> 51. Permit Suspension <br /> Received By/Title: <br /> EH Specialist: Phone: n Page 1 of <br /> EHD 16-23(1st pg) 4/9/1 FOOD PROGRAM OIR <br />