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SAN JOAQUIN COUNTY <br /> /z71 <br /> i ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708 <br /> '�,�"� Q�• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 7 �� Date: <br /> Address: ')O LAJ City: C—r, Zip Code: <br /> Owner/Operator: Telephone:^ <13--60 4 <br /> Program Element:�,1(o�5 Program Record: R O 52-3 102 Inspection Type: <br /> SB 180 Posted LtI 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 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 I / <br /> a 1 2 <br /> hazardous food 1 SO m e r!CS v✓ <br /> E <br /> E✓ Inadequate cooking temperatures/practices 3 4 �. <br /> AL <br /> c Improper reheating temperatures/practices 5 6 <br /> o — <br /> u. <br /> Improper cooling practices 7 8 <br /> AdLllturated/Contaminated food 9 10 <br /> on <br /> c <br /> Reused/retumed food 11 12 <br /> v <br /> o Cross contamination or improper handling <br /> O x of Food/Utensils/Equipment 13 14 <br /> U. <br /> o Unapproved food source 15 16 <br /> 0 <br /> Improper thawing of potentially hazardous <br /> 17 16 <br /> food <br /> -d III employee/cuts/rashes 19 20 <br /> a� ur F <br /> co <br /> c Lack of proper hand washing procedure 21 22 <br /> CIS <br /> Required sink(s)/dish washing machine 23 24 <br /> c •� removed,inoperable,inaccessible <br /> u y ti Unsanitary Food Facility Conditions- <br /> Critical/Non-Critical Area 25 26 <br /> Hot water not available 27 28 <br /> c <br /> N <br /> Lack of potable water supply 29 30 <br /> G <br /> Improper sanitizer concentration/methods/ <br /> testing equipment 31 32 <br /> � G <br /> Sewage system failure/back up 33 34 <br /> 00 <br /> 3 4d E No operable/accessible toilets 35 36 <br /> d 0 <br /> r" > Rodent/Cockroach/Other vermin infestation 37 38 <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED I3Y RLSOLUTION 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 PRIOR TO THE ISSUANCE OF A PERMIT TO OPERATE. <br /> ITEM/LOCATION TEMP ITEM/LOCATION TEMP ITEM/LOCATION TEMP <br /> Food Safety Certification Required: ❑ Yes❑ No Time in: ampm Time out: -3 �� am� <br /> Certificate Issued By: Date:_/_/ Received By: � --- <br /> Name on Certificate: Inspected By: <br /> EHD 16-023 <br /> 3/17/2004 See Reverse Side For Additional Information Pagel of <br />