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0PC•• �., SAN JOAQUIN COUNTY <br /> '.� <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> :jl 304 East Weber Avenue, 3rd Floor, Stockton,CA 95202-2708 <br /> � •. � W•% <br /> Telephone: 209 468-3420 Fax: 209 464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: Zip Code: <br /> Owner/Operator: Telephone: 9-3 1 f <br /> Program Element: f d Program Record: 3 7 Inspection Type: <br /> SB180 Posted Yes ❑ No '�� Permit Posted ❑Yes [] No Reinspection on or After: <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 ofthe food <br /> establishment. "Minor"indicates a violation that does not pose an imminent public health risk,but warrants timely correction as noted. <br /> Critical Risk Factors Major Nus r The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially 1 2 _ e <br /> a hazardous food <br /> E <br /> Inadequate cooking temperatures/practices 3 4 _ <br /> F- <br /> o Improper reheating temperatures/practices 5 6 <br /> o -- <br /> u. <br /> Improper cooling practices 7 8 �, • -�� <br /> Adulturated/Contaminated food 9 10 ®, <br /> cn � GTL , <br /> c <br /> Reused/returned food 11 12 <br /> oCross contamination or improper handling 13 14 <br /> of Food/Utensils/Equipment - <br /> w <br /> o Unapproved food source 15 16 '� a4rZAC <br /> 0 <br /> u Improper thawing of potentially hazardous <br /> 17 18 • '� � <br /> food <br /> Ill employee/cuts/rashes 19 20 <br /> Lack of proper hand washing procedure 21 22 3Q <br /> nRequired sink(s)/dish washing machine 23 24 <br /> o •Z removed,inoperable,inaccessible <br /> uo- y u_ Unsanitary Food Facility Conditions- 25 26 �— <br /> Critical/Non-Critical Area <br /> Hot water not available 27 28 3 <br /> G <br /> ad 'Y Lack of potable water supply 29 30Q <br /> 3 ° <br /> Improper sanitizer concentration/methods/ 31 32 <br /> testing equipment �o <br /> Sewage system failure/back up 33 34 3/ / <br /> a� c <br /> 3 � � No operable/accessible toilets 35 36 <br /> Rodent/Cockroach/Other vermin infestation 37 38 _ <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF SAN JOAQUIN COUNTY BOARD OI: 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 /> ITEWILOCATION TEMP ITE /LOCATION TEMP ITEM/LOCATION TE1IP <br /> 0 30- rw <br /> y r . <br /> Food Safety Certification Required: Yes❑ No Time in: m Time out: ! am Pm <br /> Certificate Issued By: D te:_/ ___ Received By: <br /> Name on Certificate: U Inspected By: <br /> EHD 16-023 <br /> 3/17/2004 See Reverse Side For Additional Information Pagel of <br />