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SAN JOAQUIN COUNTY <br /> 41ENVIRONMENTAL HEALTH DEPARTMENT <br /> I .., <br /> 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> 1 Teleph no e• (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: d <br /> Address: City: Zip Code: a <br /> Owner/Operator: Telephonej,k9— _3 VjQO <br /> Program Element: P gram Record: t7 Inspection Type: <br /> SB180 Posted ❑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 pose 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 <br /> Q hazardous food 1 2 <br /> Inadequate cooking temperatures/practices 3 46. De hr <br /> H <br /> o Improper reheating temperatures/practices 5 6 <br /> 0 <br /> w <br /> Improper cooling practices 7 8 <br /> Adulturated/Contaminated food 9 10 <br /> on <br /> G <br /> Reused/retumed food 11 12 Z <br /> o0 Ca Cross contamination or improper handling 13 14 <br /> �; of Food/Utensils/Equipment <br /> o Unapproved food source 15 16 ' M"4– -;Cap— <br /> 0 <br /> LT-. Improper thawing of potentially hazardous n� <br /> food 17 18 -'`r�W " <br /> Ill employee/cuts/rashes 19 20 -�,� iii- <br /> c ; Lack of proper hand washing procedure 21 22 <br /> L) <br /> Required sink(s)/dish washing machine <br /> o removed,inoperable,inaccessible 23 24 <br /> 0 Cd <br /> w x w Unsanitary Food Facility Conditions- 25 26 <br /> Critical/Non-Critical Area <br /> bu Hot water not available 27 28 <br /> � N <br /> 33 '� Lack of potable water supply 29 30 <br /> 3 <br /> Improper sanitizer concentration/methods/ <br /> testing equipment 31 32 <br /> Sewage system failure/back up 33 34 <br /> � F <br /> 00 - <br /> 3 0� E No operable/accessible toilets 35 36 <br /> � d <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 ITEWLOCATION TEMP ITEM/LOCATION TEMP <br /> Food Safety Certification Required: ;/ryes❑ No Time in: out: Ar- m <br /> Certificate Issued By: Date:_/_/_ Received By: <br /> Name on Certificate: Inspected By: <br /> EHD 16-023 <br /> 3/17/2004 See Reverse Side For Additional Information Page Iof_� <br />