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Co. . NTY <br /> Q c� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 0 304 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 /> ��rFo�N FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: -� -ti,r-2 S Date: - -0,C) <br /> Address: 3 c 61-t -hj(o, City: Zip Code: (o ocj _3�j Ce�Ek <br /> Owner/Operator: (J ('Co La -2. i1Ay Telephone: C1 -7 <br /> Program Element: ' ( g Program Record: P C,e� �,5 j Inspection Type: A <br /> SB180 Posted In Yes ❑ No Permit 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 2ose an imminent public health risk,but warrants timely correction 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 1 2 w ,- • <br /> r,, hazardous food N� v { C.v,moi✓ C' 1 e Y r C <br /> E <br /> Inadequate cooking temperatures/practices 3 4 <br /> F <br /> c Improper reheating temperatures/practices 5 6 <br /> 0-al Sa-1 0 <br /> 6"A'LL SPA-042 <br /> w <br /> Improper cooling practices 7 8 <br /> Adulturated/Contaminated food 9 10 <br /> eu <br /> C <br /> Reused/retumed food 11 12 <br /> v <br /> o Cross contamination or improper handling 13 14 1 <br /> w x of Food/Utensils/Equipment <br /> c Unapproved food source 15 16 <br /> 0 S <br /> w Improper thawing of potentially hazardous <br /> food 17 18 � U 41A 1-1 L4 <br /> v - <br /> - <br /> Ill employee/cuts/rashes 19 20 ' CAJ 5 <br /> � a <br /> c Lack of proper hand washing procedure 21 22 2 m QYQ <br /> 22 <br /> Required sink(s)/dish washing machine 23 24 <br /> o .. - removed,inoperable,inaccessible -- <br /> w x w Unsanitary Food Facility Conditions- 25 26 � J <br /> Critical/Non-Critical Area tZ L <br /> ,q Hot water not available 27 28 <br /> a d CT7A-- <br /> Lack of potable water supply 29 30 <br /> 3 Improper sanitizer concentration/methods/ <br /> testing equipment 31 32 +j <br /> a Sewage system failurelback up 33 34 t+ <br /> on <br /> 3 ag E No operable/accessible toilets 35 36 ) <br /> Rodent/Cockroach/Other vermin infestation F37 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 ITF,M/LOCATION TEMP <br /> p <br /> 1A a 1 .y 7- . <br /> Food Safety Certification Required: ❑YeslNo Time in: 7- m p Time out: a <br /> Certificate Issued By: Date:_/_/_�eceive( By: 'l <br /> Name on Certificate: lVv� Inspected By: C <br /> EHD 16-02-023 <br /> 3/17/2004 See Reverse Side For Additional Information Pagel of <br />