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SAN JOAQUIN COU Y ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.siclov.orQ/ehd ��FOR FOOD PROGRAM OFFICIAL INSPECTION REPORT Name of Facility: ' J-7 Date: I S Address: l G City: Jf� Zip Code: Owner/Operator: � ` 'rte- Telephone: 73--S1 9 3 Program Element: Program Rec % Inspection Type: IS 8180 Posted 'Yes No Permit Posted ; Yes 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. Ma or violations 2ose a threat to lZubfic health and must be corrected immediatel . Non-compliance may warrant closure of the food ity +N' WO NVA Dernonstration of Knowledge paa,- our cos Supervision - - �CXIT 1 Demonstration of knowledge;food safety certificate `t" 24. Person In Charge is present and performs duties Employee Health and Hygiene Personal Cleanliness Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints - No discharge from eyes,nose,or mouth;no open wounds General Food Safety Requirements Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used k Pteventing Contamination by Hands - , - 7. Food protected from contamination during storage Hands clean and properly washed;proper glove use 28. Washing fruits and vegetables before use Handwashing facilities supplied and accessible 29. Toxic substances properly identified,stored,and used Time and f emperature ReiaLonship _ isplaypSeni' Proper hot and cold holding 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 _ Equiprri0n 7"Utensils f Linens 11. Proper reheating procedures for hot holding O_,,: 33. Nonfood contact surfaces clean Protection From Contamination 34. Warewashing facilities maintained;test strips available 12. No re-service of returned food 35. Equipment/utensils approved;installed;clean;good repair 13. Food free from contamination and adulteration w 6. Equipment,utensils and linens:storage and use 14. Food contact surface cleaned and sanitized/warewashing procedures .)" 37. Vending machines maintained Food From Approved Source 38. Approved and sufficient ventilation and lighting L16. od obtained from approved source 39. Thermometers provided,accurate,and easily visible mpliance with shell stock regulations;tags/display 0. Proper use and storage of wiping cloths mpliance with Gulf oyster regulations Physical,factlities Conformance With Approved Procedures 1. Plumbing maintained:proper back flow prevention 18. Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed Consumer Advisory 3. Toilet facilities clean,supplied,and maintained If7 19. Advisory provided for raw or undercooked food 44. Premises;personal/cleaning items;vermin-proofing Highly Susceptible Populations :=sx` Permanent Food Facilities 0. Prohibited foods not offered at high risk facilities 45. Floors,walls and ceiling are maintained and kept clean Water/Hot Water 46. No living or sleeping quarters inside facility 1.Hot and cold potable water available. `k compliance an E'n'forcement -Liquid Waste Disposal 47. Signs posted;last inspection report available _A' 1 2. Sewage/wastewater properly disposed;toilet facility useable 48. Compliance with plan review requirements Vermin F9. Facility operating with a valid health permit 3. No rodents,insects,birds or animals in-ide facility 50. Impoundment 51. Permit Suspension Received By/Title) EH Specialist: Phone: / Page 1 of ( -~z " EHD 16.23 (1st pg) 4/9/12 FOOD PROGRAM OIR