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L <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br /> ' <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> q�fFOnN\ <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility 0 17rl0-e Date: 77 O <br /> Address: Q City: de,4 o41 .J Zip Code: <br /> Owner/Operator: ofG Telephone: _/Z-e6 <br /> Program Element: Y Program Record: iZ O5-7i Z7 Inspection Type: <br /> -17 <br /> SB 180 Posted ❑Yes ❑ No Permit Posted Zf Yes ❑ No D'Yt t 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 2ose an imminent Rublic health risk,but warrants timely correction as noted. <br /> Critical Risk Factors n1.or n000r The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially 1 2 <br /> c, hazardous food <br /> mInadequate cooking temperatures/practices 3 4 /•� (�� f <br /> o Improper reheating temperatures/practices 5 6 AR4All�t 35 <br /> C <br /> 0 <br /> LL Improper cooling practices 7 8 <br /> NQ iz 21w <br /> Adulturated/Contaminated food 9 10 /J <br /> 0o i <br /> '- Reused/retumed food 11 12 <br /> o <br /> o A Cross contamination or improper handling 13 14 <br /> O S of Food/Utensils/Equipment /1.Yla�f - <br /> o Unapproved food source 15 16 Z - WJE" (nM 57,ze,C/s- <br /> 0 <br /> 1i- Improper thawing of potentially hazardous 17 18 t LI r r"'p'IJ.`o f Lt J� <br /> food � <br /> d, .. III employee/cuts/rashes 19 20 re t I <br /> v c <br /> lack of proper hand washing procedure 21 22 Kte--,Y- <br /> m <br /> aRequired sink(s)/dish washing machine 23 24 <br /> o - removed,inoperable,inaccessible <br /> W Z Unsanitary Food Facility Conditions- 25 26i c <br /> Critical/Non-Critical Area <br /> ea Hot water not available r3l <br /> 28 <br /> c <br /> J N <br /> m d3 .. Lack of potable water supply 30 <br /> 3 ° G <br /> [ m Improper sanitizer concentration/methods/ <br /> testing equipment 32 � _Sewage system failure/back up 34 7 -77.66 <br /> � F <br /> m <br /> 3 oa E No operable/accessible toilets 35 36 - <br /> m m <br /> > Rodent/Cockroach/Other vermin infestation 37 8 - <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED 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 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 E No Time in: m/p Tift�e u am/pm <br /> Certificate Issued By: Date:_/_/_ Received By: rt' <br /> Name on Certificate: Inspected By: <br /> EHD 16-021 <br /> 1/17/2004 See Reverse Side For Additional Inf rmatlon Pagel of <br />