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SAN JOAQUIN COUNTY <br /> G` ENVIRONMENTAL HEALTH DEPARTMENT <br /> 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: Date: 16f <br /> Address: 2(P -A, 3 City: Zip Code: 7 y5 — 2-3 1? <br /> Owner/Operator: CL4 Z Telephone: C/_ e l f 1/3 <br /> Program Element: 00 Program Record: Inspection Type: r/✓L_ <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 of•the food <br /> establishment. "Minor"indicates a violation that Aoes not ose an rnninent public health risk,but warrants timely correction as noted. <br /> Critical Risk Factors Ma'or Minor The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially 1 2 <br /> 0 hazardous food <br /> y Inadequate cooking temperatures/practices 3 4 Q 5-t`Lt'i-7 ,�- Q 1 <br /> o Improper reheating temperatures/practices 5 6 4;o C7 4h 0 U 4- /�[ ate(4-A Txe r/Y4 !•l <br /> 0 <br /> Improper cooling practices 7 8 y 1'f� © r GU- <br /> Adulturated/Contaminated food t0 U d T ��Y/n�' 6 C J/�P Y <br /> 4 <br /> oA <br /> c ,�1 � <br /> Reused/retumed food 11 12 l�USS/1 '� GO?YL-C. � („' �v /G� <br /> 0 c Cross contamination or improper handling <br /> 0 ,� m 13 14 <br /> 0 of Food/Utensils/Equipment 1yd U Y <br /> u. <br /> o Unapproved food source 15 16 <br /> 0 <br /> u Improper thawing of potentially hazardous /� <br /> 17 18 <br /> food �!r rrt.,4 F, rL� -76 , 0 <br /> F d III employee/cuts/rashes 19 20 �VD ✓�"1 (zl 2- <br /> Lack of proper hand washing procedure 21 22 <br /> '- Required sink(s)/dish washing machine <br /> 23 24 <br /> c •� removed,inoperable,inaccessible <br /> u- Unsanitary Food Facility Conditions- 25 26 <br /> Critical/Non-Critical Area <br /> Hot water not available 27 28 <br /> � F <br /> 48 Lack of potable water supply 29 30 <br /> 3 <br /> N Improper sanitizer concentration/methods/ 31 32 <br /> testing equipment <br /> Sewage system failure/back up 33 34 <br /> a� c <br /> Oq <br /> 3 £ No operable/accessible toilets 35 36 <br /> 0 v <br /> fz' > Rodent/Cockroach/Other vermin infestation 37 38 <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZE.) 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 PR10R TO THE ISSUANCE OF A PERMIT TO OPERATE. <br /> ITEM/LOCATION TEMP ITEM/LOCATION TEMP ITvm/LOCATION TEMP <br /> Food Safety Certification Required: ❑YesXNo Time in: mm Ti e out: 'l am/,pm <br /> Certificate Issued By: Date:_/ /_ Received By: <br /> Name on Certificate: Inspected By: <br /> EtID I� __ 1 <br /> 3n7n--ooa See Reverse Side For Additional Information <br />