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1 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> V 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 /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: t Date: p-� —� <br /> Address: q LAJ, City: C Zip Code: <br /> Owner/Operator: h Telephone: <br /> Program Element: i Program Record: r�72 Inspection Type: _ n <br /> SB180 Postedes El No Per �s ed ❑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 Rose an imminent public health risk,but warrants timely correction as noted. <br /> Critical Risk Factors Major Minor marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially / n <br /> a hazardous food t 2 r/,OQ 601 L'41'?7 rQ 'r•ed. 1"ro(/-t <br /> 0 Inadequate cooking temperatures/practices 3 4 07f't GQ vJI`j'jt CULit, ;,t? ( 1J ,?2 <br /> F <br /> o Improper reheating temperatures/practices 5 6 <br /> 0 <br /> Improper cooling practices 7 8 f- vu i,.I '(,e S Yru'S i _Ln s - tL 6 <br /> Adulturated/Contaminated food 9 10 l W <br /> o<, <br /> c <br /> Reused/returned food 11 12 ? p y4 Atz r r " oxe-4-e-" &n 1^'•Q-Fyi fir- -1O r5 4 <br /> a <br /> o Cross contamination or improper handling <br /> 13 14 <br /> o x of Food/Utensils/Equipment <br /> w <br /> o Unapproved food source 15 16 3 {Q <br /> 0 <br /> w Improper thawing of potentially hazardous a -o <br /> food 17 18 ( D r- l.o vvP--r 165 h. ' )1 - 6-11 r, C_ <br /> Ill employee/cuts/rashes 19 20 <br /> v G <br /> Lack of proper hand washing procedure 21 22 — 1"e rwL ko-rti K0 t- AnQa d U H c) <br /> ' <br /> cd <br /> Required sink(sydish washing machine 23 24 <br /> o removed,inoperable,inaccessible -Y h .Q z <br /> w x w Cd Q <br /> Unsanitary Food Facility Conditions- rr <br /> Critical/Non-Critical Area 25 26 _ u, roDcl r2 a r-,LA S i l S i'Ytctt" <br /> su Hot water not available 27 28 J _ S . <br /> Lack of potable water supply 29 30 Pr o Lk cLe- 5 o2:32 a,,,ot -{O w,v.A S - CAAk <br /> 3 <br /> Improper sanitizer concentration/methods/ <br /> testing equipment 31 32Vx0--rNd u�t aid i—r o0 r✓t S <br /> v o Sewage system failure/back up 33 34 �j G i .�a�prS �re2 v2.�,S /JS <br /> n3 E No operable/accessible toilets 35 36 <br /> 47 <br /> y <br /> - Petivt alC �..3od Y <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. ALI, <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 /> 0 4 a i r �G <br /> Food Safety Certification Required: t.Yes❑No Time in: a pmme o O'CrX� a pm <br /> Certificate Issued By: Date: / / Received By: 0 <br /> Name on Certificate: Inspected By: <br /> FHD 16-02-023 <br /> 3/17/2004 See Reverse Side For Additional Information Pagel of <br />