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U1 SAN JOAQUIN COUNTY <br /> �o �o <br /> r ENVIRONMENTAL HEALTH DEPARTMENT <br /> N < <br /> 304 East Weber Avenue, 3'd Floor, Stockton,CA 95202-2708 <br /> (209)468-3420•Fax:(209)464-0138• Web:www.co.san-joaquin.ca.us/ehd <br /> P <br /> A�JI`OFOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: p iP.,,— Date: I c� <br /> Address: City: Zip Code: <br /> Owner/Operator: 610 e11 0 0111-" f n�lel(5 Telephone: c _ 2 q 3 <br /> Program Element: `7)4-5g'5-4,01k Program Record: Inspection Type: <br /> SB180 Posted ❑Yes ❑No g,'A~ errnit Posted ❑Yes ❑ 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 iment ublicheaminith risk,but warrants timelycorrection as noted. <br /> Critical Risk Factors Major Minor The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially <br /> hazardous food 1 2 r' 44, �I <br /> Inadequate cooking temperatures/practices 3 4 <br /> F <br /> o Improper reheating temperatures/practices 5 6 V4- Vol <br /> 0 <br /> 1 Improper cooling practices 7 8 / S 4LA fht.. <br /> Adulturated/Contaminated food 9 10 F O a - lb <br /> C6 <br /> C Reused/returned food 11 12 —rL'k- bAAt 41,-5 O u S k <br /> ti <br /> o Cross contamination or improper handling 13 14 ! l Iyv <br /> w x of Food/Utensils/Equipment I 0-.-u <br /> c Unapproved food source 15 16 ' , Vil�Jr.IC <br /> 0 <br /> w Improper thawing of potentially hazardous G <br /> 17 18 <br /> food KS /\D d <br /> Ill employee/cuts/rashes 19 20 Ct ii, S Q-V Apt f <br /> Lack of proper hand washing procedure 21 22 �%-j2e e CL'�;(„ <br /> x a w Required sink(s)/dish washing machine <br /> o '" removed,inoperable,inaccessible 23 24 11 d le e, C1 a Q 1'1 r 11V ' <br /> w x w Unsanitary Food Facility Conditions- / <br /> Critical/Non-Critical Area 25 26 G �r l kl e <br /> Hot water not available 27 28 <br /> a <br /> a3 Lack of potable water supply 29 30 js <br /> k ) ��- <br /> 3 <br /> � Improper sanitizes concentration/methods/ <br /> testing equipment 31 32 (2,7y rk <br /> a Sewage system failure/back up 33 34 ,I _ _ 4e G , <br /> � ,lu <br /> No operable/accessible toilets 35 36 <br /> 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: ❑Yes❑ No Time in: am m <br /> Certificate Issued By: Date:_/ / Received By. <br /> Name on Certificate: Inspected By: <br /> EHD 16-02-023 <br /> 3/17/2004 See Reverse Side For Additional Information Pagel of <br />