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oaa•`'!^!. SAN JOAQUIN COUNTY <br /> ).•' Gat'•:'G <br /> z: ti ENVIRONMENTAL HEALTH DEPARTMENT <br /> �: 304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Weh:www.sjgov.org/ehd <br /> C�'' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 4 i�5 /yl Date: 5 S <br /> Address: 3 Z•y�- 4) . City Zip Code: <br /> Owner/Operator: �j Telephone:(725) <br /> Program Element: Program Record: s R66 els/7C/! Inspection Type: '?4,3V, <br /> SB180 Posted n Yes -Q-UQ-_ Permit Posted 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 timel •correction as noted. <br /> Critical Risk Factors Ma'or Minor The marked violations represent Health&Safety Code Violations and must be correctefollows: <br /> Improper holding temperature of potentially - l <br /> CL hazardous food 1 2 �� N xr �v�C2 , v <br /> Inadequate cooking temperatures/practices 3 4 �^ ` <br /> o Improper reheating temperatures/practices 5 6 <br /> 0 <br /> w <br /> Improper cooling practices 7 8 O IU6 <br /> 44CE7- 00A, s rnlK NOv <br /> CIO <br /> Adulturated/Contaminated food 9 10 (,—)OAK f yt,& IIZ-17— o� devt O E 1�Fe <br /> , <br /> Reused/returned food 11 12 � �D�7 7— VI/kf 5 T/ <br /> o Cross contamination or improper handling {� <br /> '� x of Food/Utensils/E ui ment 13 14 S (�� l'� ✓ -(� J��S�/��a <br /> o Unapproved food source 15 16 <br /> 0 <br /> Improper thawing of potentially hazardous <br /> 17 18 <br /> food <br /> III employee/cuts/rashes 19 20 <br /> V y C <br /> c Lack of proper hand washing procedure 21 22 QWNF� To /01IP14 D IOCL <br /> .� Required sink(s)/dish washing machine 23 24 �" �� ��p <br /> o removed,inoperable,inaccessible �o 3v - (ivei3�\ 41)6-. f19 <br /> u x Unsanitary Food Facility Conditions 25 26 P4-" ,yY���I T— � �1 N� Tlk.L- QCL 7--- N <br /> Critical/Non-Critical Area �7 <br /> ,Q Hot water not available 27 28 l 7- <br /> c <br /> � N <br /> vii Lack of potable water supply 29 30 <br /> 3 <br /> Improper sanitizer concentration/methods/ /*� �1 <br /> 7e-- <br /> testingequipment 31 32 `J I ri- 5 S^U ��/I'/!� `j�� 5 (_ <br /> Sewage system failure/back up 33 34 S ���VI (, iT <br /> co - <br /> 3 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 RMNSPF.CTION FEE. ALL UNPAID CHARGES <br /> ASSOCIATED WITH THE FACILITY OWNER OF RECORD OR APPLICANT SI TALL BE PAID PRIOR TO THE ISSUANCE OF A PERMIT TO OPERATE. <br /> ITEM/LOCATION TFnIP ITEM/LOCATION TENIP ITEM/LOCATION TEMP <br /> p eco lS I4 \F65 3 <br /> '► 7- RSP �ba -lam q `i✓ ,'�( l <br /> Food Safety Certification Required: [ Yes❑ No Time in: 2. Alpm Time am/pm <br /> Certificate Issued By: Date:_!_1_ Received By: <br /> P. <br /> Name on Certificate: Inspected By: <br /> EH.D 16-023 <br /> 3mr2004 See Reverse Side For Additional Infor a ion Page Iof <br />