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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 fVeb: www.sjgov.org/ehd <br /> C o'aN� FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: 9- OV <br /> Address: fit! City: Zip Code:-TM <br /> Owner/Operator: D Telephone: Cf <br /> Program Element: Program Record: <br /> ,�[�� gC7 Inspection Type: <br /> SB180 Posted E] Yes No Permit Posted ,JG res ❑ 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 con'ected immediately or warrant immediate closure ofthe food <br /> establishment or"indicates a violation that does not pose an imminent public health risk,but warrants timely conection as noted. <br /> Critical Risk Factors nraror Non- The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially1 2 <br /> a hazardous food 1vdom <br /> Inadequate cooking temperatures/practices 3 4 Aw_ <br /> o Improper reheating temperatures/practices 5 6 <br /> 0 <br /> LL <br /> Improper cooling practices 7 8 <br /> Adulterated/Contaminated food 9 10 . 40 <br /> t <br /> 00 <br /> Reused/retumed food 11 12 <br /> a <br /> o ° Cross contamination or improper handling 13 14 <br /> of Food/Utensils/Equipment <br /> LL A <br /> o Unapproved food source 15 16 ~-: <br /> 0 <br /> LL Improper thawing of potentially hazardous 17 18 <br /> rood <br /> III employee/cuts/rashes 19 20 <br /> c <br /> c � Lack ofproperhand washingprocedure 21r26 <br /> x i Required sink(s)/dish washing machine <br /> 23 <br /> o — removed,inoperable.inaccessible <br /> c <br /> u. T a Unsanitary Food Facility Conditions- 25CriticalfNon-C itieal Area 0 <br /> m Hot water not available 27 <br /> J N <br /> � aS z Lack of potable water supply 29 30 <br /> 3 z <br /> Improper San itizer concentration/methods/Vi 31 32 <br /> testing equipment <br /> Sewage system Ii l ure/back up 33 34 <br /> m <br /> E No opcmble/accessible toilets 35 36 <br /> v <br /> m > <br /> Rodent/Cockroach/Otherr vermin infestation 37 38 <br /> ENVIRONMFNI'AL 14EAI:I'll AND SERVICE CHARGE IEFS ARE AU"1'HORIZE) By RESOLUTION OF SAN JOAQUIN' COUNTY BOARD OF SUPERVISORS. ALL <br /> DOCl1MENT EU C121"TICAL ILEA LI'II VIOLATIONS 012 REPISAI' VIOLATIONS ARE SUUIEC"I' TO A REINSPEC"PION AND 12EINSPIiCI'ION FEE. ALL UNPAID CHAI2G ES <br /> ASSOCIATED WI"f FI THE PACI h1'I'Y OWNER 017 RECORD OR APPLICANT SHALL Uri PAID PIiI0121'O lli F,ISSUANCIi OI'A PERMI"f l'O OPGI2 A'I'E. <br /> ITEM/LOCATION TEMPITEM/LOCATION TEM I' ITEIM/f.00ATION' TENIP <br /> Q <br /> Food Safety Certification Required: Yes❑ No 1111 Time in:/ e a Time out: m <br /> Certificate Issued By: /91 Date: I_/_ ( Received,78- <br /> n <br /> i <br /> Name on Certificate: Inspected B <br /> AJ <br /> 0I1)16-023 <br /> 317/2004 See Reverse Side For Additional Information Pagel of <br />