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ap°" Fpm L. SAN JOAQUIN COUNT./ ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95205-6232 �4v eti�p Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd FOOD PROGRAM OFFICIAL INSPECTION REPORT [Nameof Facility: Th d x Date: ss: I3y0U r thcA r Com' T-c C zip Code: 9SJ 7z' /Operator: '✓ � Telephone: 1�l3 Y Tm Element• JL z Program Record: Sz6 `% InspectionType:Posted Yes No Permit Posted ' es No Re-Inspection on or After: IN=In Compliance N/O=Not Observed N/A=Not Applicable COS=Corrected on-site MAJ=Major Violation OUT=Not in Compliance See reverse side for code sections and general requirements that correspond to each violation listed below. Major violation pose a threat to Public health and must be corrected immediately. Non-compliance may warrant closure of the food facility - ledge Irnat our cos Supervision our 1. Demonstration of knowledge;toed safety certificate 24. Person In Charge is present and pedorms duties Hygiene Personal Cleanliness Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints No discharge from eyes,now,or mouth;no open wounds General Food Safety Requirements Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used 7. Food protected from contamination during storage Hands clean and property washed;proper glove use 8. Washing fruits and vegetables before use Hendwashing facilities supplied and accessible . Toxic substances properly identified,stored,and used Proper hot and Coll Folding temperatures 30. Food storage;food storage containers labeled Proper use of time as a public health control 31. Customer self-service food protected;individual utensils provided Proper cooling methods 32. Food properly labeled and honestly presented 10. Proper cooking time and temperatures 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean M. Warewashing facilities maintained;test strips available V1 1 12. No re-service of returned food 35. Equipment/utensils approved;installed;clean;good repair 1-1 13. Food free from contamination and adulteration 36. Equipment,utensils and linens:storage and use 14. Food contact surface cleaned and sanitized/warewashing procedures 37 Vending machines maintained FOC�%proved Source 38. Approved and sufficient ventilation and lighting rp715F.,d obtained trom approved source 9. Thermometers provided,accurate,and easily visible mpliance with shell stock regulations.tags display 0. Proper use and storage of wiping cloths 7. Compliance with Gulf oyster regulations nce With Approved Procedures 41. Plumbing maintained;proper back flow prevention 18. Compliance with HACCP plan or variance conditions 42 Garbage and refuse properly disposed umer Advisory 43. Toilet facilities clean,supplied,and maintained 9. Advisory provided for raw or undercooked food 44. Premises;personal/cleaning items;vermin-proofing s Permene . Prohibited foods not offered at high tisk facilities 45. Floors.walls and ceiling are maintained and kept clean .......... •Cr 46. No living or sleeping quarters inside facility 1.Hol and cold potable water available. Com cal__. ._�„ _•._,,;-.. 7. Signs posted; last inspection repos available . Sewege/wasteweterproperly disposed;toilet facility useable 8. Compliance with plan review requirements MrTM79. Facility operating with a valid health permit 3. No rodents,insects,birds or animals inside facility 50. Impoundment 1. Permit Suspension Received Ely/Title: EH specialist: Phone: 7 6 Y'2 /6p Page 1 of EHD 1fr23 (lst pg) 49/12 FOOD PROGRAM OIR