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a°P ,ut�v ra SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />\� '• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.Sjgov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION RF;PORT <br />Name of Facility: ku a r C, <br />`.t r• S 1 <br />Date: <br />Address: <br />City: cLr <br />Zip Code: <br />Owner/Operator: 5 <br />Ir? 1' I o n C,I <br />Telephone: <br />Program Element: <br />Program Record: <br />Inspection Type: _ <br />SB180 Posted ❑ Yes ❑ No <br />Permit Posted ❑ Yes ❑ No <br />Reinspection on or er: <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 pose an imminent public health risk, but warrants timely correction as noted. <br />ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF SAN JOAQUIN COUNTY BOARD OF SUPERVISORS. ALL <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 ITEM/LOCATION <br />TEMP <br />Critical Risk Factors <br />Ma or <br />Minor <br />The marked violations represent Health & Safety Code Violations and must be corrected as follows: <br />Improper holding temperature of potentially <br />1 <br />2 <br />a <br />hazardous food <br />E <br />Inadequate cooking temperatures/practices <br />3 <br />4_1,� <br />F <br />r n DO ct) <br />Wl,Yom! OJ <br />oImproper <br />o17,e <br />reheating temperatures/practices <br />5 <br />6 <br />r k,)�4 . L -ui✓ <br />Improper cooling practices <br />7 <br />8 <br />-T-ra <br />C on �Gtr A <br />-E G� <br />Adulturated/Contaminated food <br />9 <br />10 <br />oq <br />` <br />G <br />" <br />.a <br />Reused/returned food <br />11 <br />12 <br />KS 264- lit/ <br />t/1.� <br />I W1 0 S <br />0 <br />�' <br />Cross contamination or improper handling <br />1314 <br />o <br />x <br />of Food/Utensils/Equipment <br />co <br />w <br />o <br />Unapproved food source <br />15 <br />16 <br />0 <br />�- <br />Improper thawing of potentially hazardous <br />17 <br />18 <br />food <br />m <br />III employee/cuts/rashes <br />19 <br />20 <br />u <br />C <br />y <br />co <br />Lack of proper hand washing procedure <br />21 <br />22 <br />r <br />` <br />x <br />Required sinks)/dish washing machine <br />23 <br />24 <br />o <br />o <br />= <br />CJ <br />removed, inoperable, inaccessible <br />wCd <br />xctsUnsanitary <br />Food Facility Conditions - <br />25 <br />26 <br />Critical/Non-Critical Area <br />,u <br />Hot water not available <br />27 <br />28 <br />Lack of potable water supply <br />29 <br />30 <br />_ <br />�ro <br />3 <br />Improper sanitizer concentration/methods/ <br />31 <br />32 <br />testing equipment <br />v <br />c <br />Sewage system failure/back up <br />33 <br />34 <br />on <br />a3 <br />v <br />No operable/accessible toilets <br />35 <br />36 <br />� <br />r <br />> <br />Rodent/Cockroach/Othervermin infestation <br />37 <br />38 <br />ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF SAN JOAQUIN COUNTY BOARD OF SUPERVISORS. ALL <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 ITEM/LOCATION <br />TEMP <br />ITEM/LOCATION TEMP <br />Food Safety Certification Required: ElYes�No <br />Certificate Issued By: Date: _/_/_ <br />Name on Certificate: <br />Time in: f <br />Received By: <br />Inspected By: <br />i <br />am 'p ime out: Ci arr0pm <br />/ <br />L! T <br />4i3c007 See Reverse Side For Additional Information Page Iof <br />