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SAN JOAQUIN COUP <br /> off. .....•.� �- <br /> ?� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.siQov.orq/ehd <br /> �/FORM <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Mow-5 hat 15 Date: 2-3-15 <br /> Address: 2,2_0 3 r �� I City: Zip Code: 01520-7 <br /> Owner/Operator: t Telephone: <br /> e152--7970 , <br /> Program Element: -2.0 Program Record: p�Q j 2 Inspection Type: `J-}jy�_ <br /> B180 Posted Yes 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 /> Major violations 2ose a threat to Bub/ic health and must be corrected immediately. Non-comefiance max warrant closure of the food-facility <br /> df'?Y6 2UA k� \a �fl5r On of 1{nA+r�1 aE,; w -3aA7 our COS 'tl(lefl/1�5 n to ri <br /> ,.0 1. Demonstration of knowledge;food safety certificate 24. Person In Charge is present and performs duties <br /> .. .. <br /> 777 7- <br /> a Imp py�ee .. and Hygiene "� :)eat ltness Y` <br /> . . • �....k . _., <br /> Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints <br /> d k . <br /> No discharge from eyes,nose,or mouth;no open wounds �; � �_ ,�afii, <br /> t ' ,•^ <br /> Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used <br /> r_� ___,.�, e r� .•tt ` �-� _ ��?���� � "�b �r� a�:. 7. Food protected from contamination during storage <br /> V Hands clean and property 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 /> - ;- �� <br /> , ? .4 " t a' <br /> 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 /> 0. Proper cooking time and temperatures <br /> 1. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean <br /> m ' ..' <br /> 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 /> 4. Food contact surface cleaned and sanitized/warewashing procedures 37. Vending machines maintained <br /> 38. Approved and sufficienI ventilation and lighting <br /> 15. Food obtained from approved source 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 /> 7. Compliance with Gulf oyster regulations x <br /> t <br /> , tatiCelNlth, 1. Plumbing maintained;proper back flow prevention <br /> 18. Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed <br /> 5 :a : a <br /> u� z, :- 3. Toilet facilities clean,supplied,and maintained <br /> 19. Advisory provided for raw or undercooked food 1 4. Premises;personal/cleaning items;vermin-proofing <br /> _gym <br /> low,WeRerma+Mgt � ctl <br /> UIA 0. Prohibited foods not offered at high risk facilities 45. Floors,walls and ceiling are maintained and kept clean <br /> 1Nater _ � b � 6. No living or sleeping quarters inside facility <br /> 1.Hot and cold potable water available. <br /> 7. Signs pposted;last inspection report available <br /> V <br /> r 2. Sewage/wastewater properly disposed;toilet facility useable 48. Compliance with plan review requirements <br /> - - �� :G Yerr►�n V - � rµ_ ., � a9. 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; C CA <br /> . , V 0• <br /> EH Specialist: anJA i _ _ tj f, Phone: 3 ,,� i Page 1 of Z <br /> EHD 16-23 (1 sl pg) 4/9112 ('y`� 'f FOOD PROGRAM OIR <br />