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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> J. 600 East Main Street, Stockton, CA 95202-3029 <br /> �a Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> �tiF6'sN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ii 6", `^ Date: Z <br /> Address: 6/4 / / City: /n„ Zip Code: <br /> Owner/Operator: �, rl\ ` Telephone: 2 _u 2tfyZ <br /> Program Element: vW Program Record: t Inspection Type: ki0 <br /> 8180 Posted Yes it No Permit Posted A Yes 1; 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 public health and must be corrected immediately. Non-compliance may warrant closure of the food facility <br /> e tl a"ti oin of", owledge: <br /> FJFN <br /> monstration of knowledge,food safety certificate I ,• 4. Person In Charge is present and performs duties <br /> Z.--- <br /> _ F'arsonal Cleanlie� <br /> mmunicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints <br /> discharge from eyes,nose,or mouth;no open wounds general rood Safety,Requlr� ., <br /> per eating,tasting,drinking,or tobacco use 6. Approved thawing methods used <br /> 1i ds' 7. Food protected from contamination during storage <br /> Hands clean and properly washed;proper glove use 8. Washing fruits and vegetables before use <br /> Handwashing facilities supplied and accessible 9. Toxic substances properly identified,stored,and used <br /> } poUdtoragelDlsplay!$ervine:ncTemperature felationshi I� <br /> Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled <br /> Proper use of time as a public health control us self-service food protected;individual utensils <br /> provided <br /> 9. Proper cooling methods 32. Food properly labeled and honestly presented <br /> 10. Proper cooking time and temperatures <br /> 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean <br /> 34. Warewashing facilities maintained;test strips available <br /> 12. No re-service of returned food 35. Equipment/utensils approved;installed;clean;good repair <br /> 1 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 /> 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 0. Proper use and storage of wiping cloths <br /> 17. Compliance with Gulf oyster regulations <br /> 1. Plumbing maintained;proper back flow prevention <br /> 18. Compliance with HACCP plan or variance conditions 2. Garbage and refuse properly disposed <br /> 3. Toilet facilities clean,supplied,and maintained <br /> 19. Advisory provided for raw or undercooked food 44. Premises;personal/cleaning items;vermin-proofing <br /> :'HI®tsly,SusCeptfbis Populatiogs Permanent Pood .acilitiesr <br /> 0. Prohibited foods riot offered at high risk facilities 45. Floors,walls and ceiling are maintained and kept clean <br /> ; . . rWatesr I lint Water ��', 6. No living or sleeping quarters inside facility <br /> + 1.Hot and cold potable water available. <br /> ` k ,_•r•a rqu d1Naste Dhtposal 7. Signs posted;last inspection report available <br /> + 2 Sev;ac, + astewite f ror-rlv disk used, t, le.facility L'se:''!c _ 1 8. Compliance with plan review requirements <br /> T <br /> Vermin 49. 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: S ` <br /> EH Specialist - r if Phone: - Page 1 of <br /> EHD 16-23 (1st pg) 12/15109 U FOOD PROGRAM OIR <br />