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SAN JOAQUIN COUNTS� <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> a• a <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.siaov.orD/ehd <br /> �/FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �-caal�.- N t Date: r0 _7 <br /> Address: 3'/U J IJ Mt' f1 r?'(,w p City. 7r4� Zip Code: gs376 <br /> Owner/Operator: Telephone: <br /> Ani 1 �+��.V <br /> Program Element: I& 2 Program Record: 0/2 05 L C 765 Inspection Type: <br /> SB180 Posted es ❑ No Permit Posted 0 Yes ❑ No Re-Inspection on or After: <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 immediately. Non-com liance may warrant closure of the food facilit <br /> w wo wa Demonstration of Knowledge cavi our ca, Supervision «n <br /> �1. Demonstration of knowledge:food safety certificate 24_ Person In Charge is present and performs duties <br /> Employee Health and Hygiene Personal Cleanliness <br /> Communicable disease;reporting,restrictions 8 exclusions 25. Personal cleanliness and hair restraints <br /> No discharge from eyes,nose,or mouth;no open wounds General Food Safety Requirements <br /> Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used <br /> Preventing Contamination by Hands 27. Food protected from contamination during storage <br /> 5. Hands clean and properly washed.. proper glove use 8. Washing fruits and vegetables before use <br /> Handwashing facilities supplied and accessible 29. Toxic substances properly identified,stored,and used <br /> Time and Temperature Relationship Food StoragelDisplay/Service <br /> Proper hot and cold holding temperatures X, 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 /> Proper cooling methods 32. Food properly labeled and honestly presented <br /> 10. Proper cooking time and temperatures Equipment/Utensils/Linens <br /> 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean x <br /> lionV_ Protection From Contamination 34. Warewashing facilities maintained;test strips available <br /> 2. No re-service of returned food 35. Equipmentlutensils approved;installed;clean;good repair <br /> 4111,7. <br /> 3. Food free from contamination and adulteration 36. Equipment,utensils and linens:storage and use <br /> 4. Food contact surface cleaned antl sanitized/warewashing procedures 7. Vending machines maintained <br /> 38. Approved and sufficient ventilation and li hting5. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible <br /> . Compliance with shell stock regulations;tags/display 40. Proper use and storage of wiping cloths <br /> Compliance with Gulf oyster regulations Physical Facilities - <br /> Conformance With Approved Procedures - 41. Plumbing maintained;proper back flow prevention <br /> 18.Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed <br /> Consumer Advisory 43. Toilet facilities clean,supplied,and maintained <br /> 19. Advisory provided for raw or undercooked food 44- Premises:personal/cleaning items;vermin-proofing <br /> ;' ':Highly Susceptible Populations Permanent Food Facilities <br /> . <br /> Prohibited foods not offered at high risk facilities 45. Floors,walls and ceiling are maintained and kept clean <br /> .. lot Water 46. No living or sleeping quarters inside facility <br /> 1.Hot and cold potable water available. Compliance and Enforcement <br /> d Waste Disposal 47. Signs posted;last inspection report available <br /> . Sewage/wastewater properly disposed:toilet facility useable 48. Compliance with plan review requirements <br /> Vermin 49. Facility operating with a valid health permit <br /> 3. No rodents,insects,birds or animals inside facility 50. Impoundment <br /> IFPermit Suspension <br /> F <br /> ceived Byll itle: r r Specialist: Phone: 3 14 Page 1 of <br /> EHD 16-23 list pi 12/15/09 FOOD PROGRAM OIR <br />