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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> `I 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web: www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Lr Date: 610 <br /> Address: 35' City: Zip Code: <br /> Owner/Operator: Telephone: 7 b I <br /> Program Element: Program Record: 0 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 ose 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 /> hazardous food 1 2 0"Pt- <br /> E <br /> Inadequate cooking temperatures/practices 3 4A- 1 yl <br /> I– <br /> o Improper reheating temperatures/practices 5 6 � r I <br /> 0 <br /> u. <br /> Improper cooling practices 7 8 <br /> Adulturated/Contaminated food 9 10 <br /> on <br /> Reused/retumed food 11 12 A. ' <br /> o Cross contamination'or'improper handling 13 1 , <br /> 0 y of Food/Utensils/EquipmentLL <br /> J <br /> o Unapproved food source 15 16 <br /> 0 <br /> L1. Improper thawing of potentially hazardoux 17 <br /> 8 <br /> food - <br /> n, III employee/cuts/rashes 19 20 <br /> N y G <br /> Lack of proper hand washing procedure 21 22 <br /> Required sink(s)/dish washing machine 23 24 <br /> °o •� removed,inoperable,inaccessible <br /> wIU <br /> w Unsanitary Food Facility Conditions- 25 26 <br /> Critical/Non-Critical Area <br /> Hot water not available 27 28 <br /> � N <br /> Lack of potable water supply 29 30 <br /> 3 <br /> no Improper sanitizer concentration/methods/ 31 32 <br /> testing equipment <br /> Sewage system failure/back up 33 34 <br /> v c <br /> 00 <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 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: i /p am pm <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-4— <br />