Laserfiche WebLink
o�°gtN c SAN JOAQUIN COUNTY <br /> y: X <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> • 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> 4L�i=0R� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: G n A Date: 11-1 -13 <br /> ddress: 9 City: Zip Code: <br /> // E YO S-e- rrL.s. v--e - <br /> Owner/Operator: rade„ Telephone: 47017 SSD <br /> Program Element: Program Record: (� Inspection Type: o4-1y) 7 <br /> SB180 Posted es ❑ No Permit Posted es ❑ No Re-Inspection on or After: G��S� <br /> IN=In Compliance N/O=Not Observed N/A=Not Applicable COS=Corrected on-site MAJ=Major Violation OUT=Not in Compliance <br /> See reverse side for code sections and general requirements that correspond to each violation listed below. <br /> Major violations pose a threat to public health and must be corrected immediate) . Non-compliance may warrant closure of the food facility <br /> VfflDemonstration <br /> Demonstration of Knowledge MnJ our cos Supervision ouTuT of knowledge;food safety certificate 24. Person In Charge is present and performs duties <br /> NWMMNMA�oyee Healt ,and Hyg a_e' _. Personal Clean• es <br /> �2. Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints <br /> M3. No discharge from eyes,nose,or mouth;no open wounds General Food Safety Re <br /> tasting, <br /> Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used <br /> r n a n �on byYHands 27. Food protected from contamination during storage <br /> 5. Hands clean and properly washed;proper glove use 28. Washing fruits and vegetables before use <br /> 6. Handwashing facilities supplied and accessible 29. Toxic substances properly identified,stored,and used <br /> im rature Relatio hip ood S oragelDisplay/Service <br /> Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled <br /> Proper use of time as a public health control 31. Customer self-service food protected;Individual utensils provided <br /> 9. Proper cooling methods 2. Food properly labeled and honestly presented <br /> 10. Proper cooking time and temperatures <br /> 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean <br /> Protection From Contamination. 34. Warewashing facilities maintained;test strips available <br /> 12. No re-service of returned food - 5. Equipment/utensils approved;installed;clean;good repair <br /> 13. Food free from contamination and adulteration 36. Equipment,utensils and linens:storage and use - <br /> 14. Food contact surface cleaned and sanitized/warewashing procedures 37. Vending machines maintained <br /> err <br /> - Food From Appr6 e&So ce 38. Approved and sufficient ventilation and lighting <br /> 15. Foodobtained from approved source ! 9. Thermometers provided,accurate,and easily visible <br /> 6. Compliance with shell stock regulations;tags/display 0. Proper use and storage of wiping cloths <br /> 7. Compliance with Gulf oyster regulations it <br /> IMMLQunace With Approved Procedures. 1. Plumbing maintained;proper back flow prevention <br /> 18. Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed <br /> Consumer Advisory <br /> P. ' 3. Toilet facilities clean,supplied,and maintained <br /> 01 19. Advisory provided for raw or undercooked food 44. Premises;personal/cleaning items;vermin-proofing <br /> Highly SusceptT o uIations PerW anent Food Facilities - <br /> 101 0. Prohibited foods not offered at high risk facilities 45, Floors,walls and ceiling are maintained and kept clean <br /> d;1Natc;/H�t,Water = 6. No living or sleeping quarters inside facility <br /> INME1.Hot and cold potable water available. a - <br /> I-iquiclWaste Disposal _ 7. Signs posted;last inspection report available <br /> /EIW2. Sewage/wastewater properly disposed;toilet facility useable 48. Compliance with plan review requirements <br /> i 9. Facility operating with a valid health permit <br /> 3. No rodents,insects,birds or animals inside facility 50. Impoundment <br /> 51. Permit Suspension <br /> Received By/Title:-7'- <br /> EH Specialist: Phone: Page 1 of <br /> IL74 zz_- I <br /> EHD 16-23(1st pg) 4/ FOOD PROGRAM OIR <br />