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COMPLIANCE INFO_COMPLIANCE INFO 2020
EnvironmentalHealth
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1600 - Food Program
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PR0507811
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COMPLIANCE INFO_COMPLIANCE INFO 2020
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Entry Properties
Last modified
5/22/2020 2:47:01 PM
Creation date
4/15/2020 9:21:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
COMPLIANCE INFO 2020
RECORD_ID
PR0507811
PE
1623
FACILITY_ID
FA0007772
FACILITY_NAME
NIXON'S DELI
STREET_NUMBER
1040
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06004019
CURRENT_STATUS
02
SITE_LOCATION
1040 W KETTLEMAN LN STE 6
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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JCastaneda
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EHD - Public
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SAN JOAQUIN COUNT' <br /> �O CAG <br /> .z� 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 /> LrFOR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: O t1 Date: 2_ 1�'s-! <br /> Address: lO o o <br /> ' k o_." 4_sA - A16 City: L-0 <br /> _ Zip Code: 95 Z �' <br /> Owner/Operator: _ .- .f Ito� w Telephone: <br /> Program Element: (G� Program Record: C>_Z9 1 Inspection Type: <br /> IS 8180 Posted Yes No Permit Posted 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 Eublic health and must be corrected immediatel . Non-corn liance ma warrant closure of the food facility <br /> N,`i'v-1 i VA Demonstration of Knowledge tai OUT CO" Supervision <br /> 1. Demonstration of knowledge;food safety certificate 24. Person In Charge is present and performs duties <br /> Hygiene Parsons!Cleanliness <br /> Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints <br /> 3. No discharge from eyes,nose,or mouth;no open wounds Generalfood Safety Requirements <br /> . Proper eating,tasting,drinking,or tobacco use { 26. Approved thawing methods used <br /> 7. Food protected from contamination during storage <br /> Hands clean and properly washed;proper glove use 28. Washing fruits and vegetables before use <br /> Handwashing facilities supplied and accessible 29. Toxic substances properly identified,stored,and used <br /> ce <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 /> Proper cooling methods 32. Food properly labeled and honestly presented <br /> ;r , <br /> 10. Proper cooking time and temperatures zquris� <br /> 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean <br /> dds'"SiM 34. Warewashing facilities maintained;test strips available <br /> 12. No re-service of returned food 35. 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 /> • ,,. <br /> 38. Approved and sufficient ventilation and lighting <br /> ` `15. Food obtained from approved source <;: 39. Thermometers provided,accurate,and easily visible <br /> 16. Compliance with shell stock regulations;tags/display 40. Proper use and storage of wiping cloths <br /> 7. Compliance with Gulf oyster regulations <br /> ti <br /> Conformance 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 /> Consumtar Advisor 3. Toilet facilities clean,supplied,and maintained <br /> -]19, Advisory provided for raw or undercooked food 44. Premises;personal/cleaning items;vermin-proofing <br /> m. <br /> �IySusceptible Populations - e ' . _ Z Permanent Foodfacifiiies� <br /> s, �- <br /> j0. Prohibited foods not offered at high risk facilities 45. Floors,walls and ceiling are maintained and kept clean <br /> W <br /> Water?Hot Wate!� .,. 6. No living or sleeping quarters inside facility <br /> 1.Hot and nd cold potable water available. CC►mptiance and isforcement <br /> _ . <br /> �YI/ St1 7. Signs posted;last inspection report available <br /> d 2. Sewage/wastewater properly disposed;toilet facility useable 48. Compliance with plan review requirements <br /> Vermin <br /> 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: <br /> EH Specialist: l`) Phone: -Lj c.?Y' ,. 4 Page 1 of <br /> EHD 16.23(1st pg) 4/9/12 FOOD PROGRAM OIR <br />
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