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P ` SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> v) ki <br /> �I 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: -e � _ Date: //— Q <br /> Address: d I - City: Zip Code: 9��- <br /> Owner/Operator: e•e Telephone: 78 .. g <br /> Ile e. <br /> Program Element: 16, 01 Program Record: 1pK3 C' Inspection Type: �s <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 tisk 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 /> Critical Risk Factors Major Minor The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially 1 2 <br /> CL hazardous food <br /> aFi Inadequate cooking temperatures/practices 3 4 <br /> F F T <br /> 0 Improper reheating temperatures/practices 5 6 <br /> o - <br /> ft <br /> Improper cooling practices 7 8 M�K �, OCt A PwN ° <br /> Adulturated/Contaminated food 9 10 YV0 LkVA-J— <br /> ou <br /> c <br /> 4p 44,Q LLL I a-4 6'OA Salk- <br /> Reused/retumed food 11 12 <br /> v - <br /> o Cross contamination or improper handling <br /> '� 2 of Food/Utensils/Equipment 13 14 , vte <br /> U. <br /> 0 Unapproved food source 15 16 �.l1 k J 77 1 k <br /> 0 <br /> - Improper thawing of potentially hazardous 17 13 <br /> food <br /> Ill employee/cuts/rashes 19 20dd <br /> � N G <br /> F Lack of proper hand washing procedure 21 22 <br /> U <br /> 2 o Y Required sink(s)/dish washing machine _ <br /> 23 24 d .I•—eA _ <br /> o � •� removed,inoperable,inaccessible tl! <br /> cd <br /> Unsanitary Food Facility Conditions- 25 26 .� <br /> CriticalMon-Critical Area K 0k <br /> Hot water not available 27 28 <br /> c _ <br /> �3 Lack of potable water supply 29 30 r18 aju-Mae 064;6 supe <br /> 3 cd Improper sanitizer concentration/methods/ A <br /> cn 31 32 � J� _/* C <br /> ' <br /> testing equipment <br /> Sewage system failure back up 33 34 <br /> d c <br /> en <br /> 3 8 No operable/accessible toilets 35 36 <br /> � v <br /> > Rodent/Cockroach/Otherven-nin 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"I'O OPERA'I'G. <br /> ITENVLOCATION TEMP ITEWLOCATION TEMP ITEWLOCATION TEMP <br /> Food Safety Certification Required: J Yes❑ No J& Time in: = p Time out: /0 /pm <br /> Certificate Issued By: \ _Date:_/_/_ Received By: <br /> Name on Certificate: Inspected By: <br /> 'J *If [/A <br /> EI-ID 16-023 <br /> 3/1712004 See Reverse Side For Additional Information Page Iof <br />