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�oP4u r�oo SAN JOAQUIN COUNTY <br /> EN- ONMENTAL HEALTH DEPARD TT <br /> 304 East Weber Avenue, 3d Floor, Stockton,CA 95202-2708 <br /> Telephone.(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> vP <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: ellQ r <br /> Address: -tz- City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record:. W666' 'S 3 Inspection Type: <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 does not pose an imminent public health risk,but warrants timely correction as noted. <br /> Critical Risk Factors M.or Moro. The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially <br /> c hazardous food 1 2 G , <br /> mInadequate cooking tempemtures/pmctices 3 4 /-� <br /> F / 7 <br /> o Improper reheating temperatures/practices 5 6 <br /> n <br /> w Improper cooling practices 7 8 <br /> v- <br /> Adulturated/Contaminated food 9 10 <br /> m <br /> c <br /> Reused/retumed food 11 12 O S VE .� <br /> 9 <br /> cm Cross contamination or improper handling 13 14 <br /> t4 Ad x of Food/Utensils/Equi men[ <br /> o Unapproved food source 15 16 <br /> 0 <br /> Improper thawing of potentially hazardous <br /> f 7 a <br /> food <br /> d III employee/cuts/mshes 19 20 <br /> m F <br /> '2 tack of proper hand washing procedure 21 22 <br /> v _ Required sink(s)/dish washing rrecbme 23 24 <br /> o m .� removed,inoperable,inaccessible <br /> c.. S w Unsanitary Food Facility Conditions- 25 28 <br /> Critical/Non-Critical Area <br /> e0 Hot water not available 27 28 <br /> c <br /> N <br /> dd '« lack of potable water supply 29 30 <br /> 3 <br /> r� Improper sanid2er Concentration/methods/ <br /> testingequipment <br /> 31 32 <br /> Sewage system failure/back up 33 34 <br /> u c <br /> m <br /> 3 yy No operable/accessible toilets 35 36 <br /> y u <br /> > Rodent/Cockn ach/Other vermin infestation 37 38 <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: [l Yes No Time in: t 6 am/pm Time out: 17: am/pm <br /> Certificate Issued By: Date:_/_/ Received By: V 6e <br /> �r 1� <br /> Name on Certificate: Inspected By: <br /> EHD I6-02-023 <br /> 3171200a See Reverse Side For Additional Information Page l of� <br />