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4"''" c SAN JOAQUIN COUNT ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Telephone: (209} 468-3420 Fax: (209}464-0138 Web:www.sic�ov.org/ehd FOOD PROGRAM OFFICIAL INSPECTION REPORT Name of Facility: a MU r Vl+ Date: fir` Address: -2l'L2- )�1rTOY T V40,1 City: lq+o ' _ton Zip Code: g51k)0 OwnerlOperator: Mahar ? �1 \Am k 5 1 Telephone: d�5 -3000 Program Element• �J E j4C5 Program Record: Inspection Type: (f4,/l M,, 6180 Posted v,'Yes :1 No Permit Posted eT Yes C No Re-Inspection on or After: IN=In Compliance N10=Not Observed NIA=Not Applicable COS=Corrected on-site MAJ=Major Violation OUT=Not in Compliance See reverse side for code sections and general requirements that correspond to each violation listed below. Ma•or violations pose a threat to public health and must be corrected immediately, Non-com fiance may warrant closure of the food facility N 1-1-11 Demonstration of Knowledge Supervision our 1. Demonstration of knowledge;food safety certificate 24. Person In Charge is present and performs duties Employee Health and Hygiene Personal Cleanliness 2. Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints 3. No discharge from eyes,nose,or mouth;no open wounds General Food Safety Requirements Propereating,tasting,drinking,or tobacco use 26. Approved thawing methods used Preventing Contamination by Hands 27. Food protected from contamination during storage + 5. Hands clean and properly washed;proper glove use 28. Washing fruits and vegetables before use 6. Handwashing facilities supplied and accessible 29. Toxic substances properly identified,stored,and used Time and Temperature Relationship Food Storage/Display/Service 7. Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled 8. Proper use of time as a public health control 31. Customer self-service food protected;individual utens0s provided 9. Proper cooling methods 32. Food properly labeled and honestly presented 1 . Proper cooking time and temperatures Equipment 1 Utensils I Linens 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean Protection From Contamination 34. Warewashing facilities maintained;test strips available 12. No re-service of returned food 35. Equipment/utensils approved;installed;clean;good repair 13. Food free from contamination and adulteration 36. Equipment,utensils and linens:storage and use 14. Food contact surface cleaned and sanTzedlwarewashing procedures 37. Vending machines maintained Food From Approved Source 38. Approved and sufficient ventilation and lighting 5. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible 16. Compliance with shell stock regulations;tags/display 40. Proper use and storage of wiping cloths 17. Compliance with Gulf oyster regulations Physical Facilities Conformance With Approved Procedures 41, Plumbing maintained;proper back flow prevention 8. Compliance with HACCP plan or variance conditions 2. Garbage and refuse properly disposed Consumer Advisory 43. Toilet facilities clean,supplied,and maintained 19. Advisory provided for raw or undercooked food 44. Premises;personal/cleaning items;vermin-proofing Highly Susceptible Populations Permanent Food Facilities 0. Prohibited foods not offered at high risk facilities 45. Floors,walls and ceiling are maintained and kept clean Water I Hot Water 46. No living or sleeping quarters inside facility Trance and Enforcement 1.Hot and cold potable water available. Compliance Liquid Waste Disposal 47. Signs posted;last inspection report available 22. Sewagelwastewater propefly disposed;toilet facility useable 4B. Compliance with plan review requirements Vermin 49. Facility operating with a valid health permit 23. No rodents,insects,birds or anim Is inside# c rty 50. Impoundment 51. Permit Suspension Received BylTitle: EH Specialist: f Phone: 3 -Llo Page 1 of rjL_ END 15-23(1st pg) 419112 l/�1 FOOD PROGRAM OIR