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?° !"'•� SAN JOAQUIN COUNTY <br /> ESN vIRONMENTAL HEALTH DEPAR NT <br /> 600 East Main Street, Stockton,CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION DEPORT <br /> Name of Facility: 1Al.- Date: <br /> Address: City: Zip Code: (117 <br /> Owner/Operator: Telephone:.209— *6 QZZ <br /> Program Element: Z Program Re rd: Inspection Type: <br /> SB180 Posted ❑Yes ❑ No Permit Posted 9Yes ❑ No Reinspection on or After: <br /> The items marked and/or listed below are violations detailed in the California Health&Safety Code(CHSC),commencing y 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 M:or Minor The marked violations represent Health&Safety Code Violations and must be corrected as follows <br /> Improper holding temperature of potentially elp <br /> c, hazardous food 1 2 <br /> E r <br /> v Inadequate cooking temperatures/practices 3 4 <br /> o Improper reheating temperatures/practices 5 6 <br /> v <br /> Improper cooling practices 7 6 Zwv <br /> r r <br /> Adulturated/Contaminated food 9 10 <br /> m <br /> do <br /> c <br /> Reused/returned food n 12 A I- <br /> 'd <br /> Cross contamination or improper handling 13 14 <br /> C 'J 5 of Food/Utensils/Equipment <br /> w <br /> o Unapproved food source 15 16 <br /> 0 <br /> u- Improper thawing of potentially hazardous <br /> 17 16 <br /> food ' ,/ <br /> _ 111 employee/cuts/rashes 19 20 Lo <br /> u c Vf <br /> e Lack of proper hand washing procedure 21 22 <br /> 'T Required sink(s)/dish washing machine <br /> oa � removed,inoperable,inaccessible 23 24 <br /> c. y Unsanitary Food Facility Conditions- <br /> CriticaVNon-Critical Area 26 <br /> 4 <br /> c0 Hot water not available 27 26 1 ate, <br /> c <br /> j N <br /> dd Lack of potable water supply 29 30 & <br /> 3 N Improper sanitizer concentration/methods/ 31 32 1 �^ <br /> testing equipment <br /> Sewage system failure/back up 33 34 O <br /> u c 6 <br /> m <br /> 3 4J No operable/accessible toilets 35 36 <br /> r" Rodent/Cockroach/Othervemin infestation 7 36 <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF SAN JOAQUIN COUNTY BOARD OF SUPERVI=CHAT��LS <br /> DOCUMENTED CRITICAL HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT TO A REINSPECTION AND REINSPECTION FEE. ALL UNPA <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 Certificati Required: es❑No Time in: am Time out:. r am/1169 <br /> Certificate Issued By Date:a/,17/o Received By: '� x <br /> Name on Certificate: Inspected By: <br /> EHD I6-021 <br /> . 413/2007 See Reverse Side For Additional Information Pagel of <br />