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>. • +r4r� aA .rlw. .f .w. .•:rl,k-Ylr-'y:=,�xn. fit.-_��1_ _ Yw-+a p�__,_�„�.''.`"`. -- - �'.r'_�.-rkc-v -" .. �. <br /> t / <br /> SAN JOAQUIN.COUN F <br /> g` ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sioov.oro/ehd <br /> FOODPROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: W(Ab CkV -U Q k5i Fi (`k ' I-(('9 7- Date: .1/6 <br /> Address: n 00 S - il• Arz ( R City: n1-l.r , tvn Zip Code: <br /> Owner/Operator: Ju�Th C��(/1f,^ �� Utl��i Telephone: 1_011`-U <br /> Program Element: (D Program Record: Inspection Type: r l� <br /> 8180 Posted Yes No Permit Posted, Yes CNo Re-Inspection on or After: i <br /> IN=1n Compliance N/O=Not Observed N/A-Not Applicable COS=Corrected on-site MAJ=Major Violation OUT=Not in Compliance <br /> See reverse side tot code sections and general requirements that correspond to each violation listed below. <br /> Ma or violations pose a threat to public health and must be corrected immediately. Non-compliance may warrant closure of the food facility <br /> `.m Sro tvi:'. '.Derho stretloh otJKnowle �" o '.wv four ws --$' 5_upervrsio_h u'5 - s-i-E <br /> moi. tsr... y -��.a� _t .� d. _ VS�n+si�.a-- _ <br /> 1. Demonstration of knowledge;food safety certificate `qld",- �. 4. Person In Charge is present and performs duties <br /> r - vr;,AsEm to oe Health and Hh i nom. _ # '`;^ roeie_onal Gleanline_sa <br /> '. .c- oFr�,sr..__P Y y9_.. y x..=:_ter <br /> Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints y <br /> f< No discharge from eyes,nose,or mouth;no open wounds ;: c -,- General_:Food'SafetyyRepuliemenT"s_,.= <br /> Proper eating,tasting,drinking,or tobacco use `6. Approved thawing methods used <br /> enHn Lontananetlonb` 18[Ms a_ 7. Food protected from contamination during storage <br /> Hands dean and properly washed;proper glove use 28. Washing fruits and vegetables before use <br /> Handwashing facilities supplied and accessible 29. Toxic substances property identified,stored,and used <br /> y <br /> Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled <br /> Proper use of time as a public health control 31. Customer self-service food protected;individual utensils provided <br /> Proper cooling methods 32. Food properly labeled and honestly presented <br /> r: -•,"r - <br /> 70. Proper cooking time and temperatures -;z 'Equipment ltenella�l _inens.•_ _ " - <br /> 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean <br /> IMW <br /> _ � LoteotrOa=F,1:0_m_:_C_0ntaminahgrl _ --- .. _'`l34. Warewashing facilities maintained;test strips available <br /> FR12. No re-sonAce of returned food 35. Equipment/utensils approved;installed;clean;good repair <br /> 13. Food free from contamination and adulteration 6. Equipment,utensils antl linens:storage antl use <br /> 14. Food comas surface cleaned and sanitized/warewashing procedures 37. Vending machines maintained <br /> kstFoodtotirc <br /> Fr" rilpproved='SeiK, '. * 38, and sufficient ventilation and lighting <br /> R Q. Food obtained from approved source 9. Thermometers provided,accurate.and easily visible <br /> 11116. Compliance with shell stock regulations;tags/display 40. Proper use and storage of wiping cloths <br /> 17. Compliance with Gulf oyster regulations - - - ;ra Pl -iliFacliities - `5}�'t- ` '�= <br /> v <br /> i�=a-_ti;:��__ ConFor'mance WFth?APproved�"Arocedures���;��",� 1. Plumbing maintained;proper back flow prevention <br /> 18. Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed <br /> � .�`i43. Toilet facilities clean,supplied,and maintained <br /> - 1419. Advisory provided for raw or undercooked food 44. Premises;personavdeaning items;vermin-proofing <br /> onssP.ermar�ent»n .'., - "_ "' 'a✓ t '.<-,...a.- -s3 cif ii <br /> -o,ry ,;�,� �HlghlySuscept!b1e Populati �a,r _ T _ _ __�_ s� -FoodG.ecr4es,.�._ <br /> 0. Prohibited foods not offered at high risk facilities 45. Floors,walls and ceiling are maintained and kept clean <br /> 6. No living or sleeping quarters Inside facility <br /> 'I.Hot and cold potable n-- � t Compliancesnd Enforeemeit_t_&e F;�� ? <br /> = e water available. <br /> 7. Signs posted:last inspection report available <br /> `- 2. Sewage/wastewater properly disposed;toilet facility useable 48. Compliance with plan review requirements <br /> �-:.-."`_? .., <br /> Rim '+p'i'n=`_x{ <br /> -=- - tinr-, ? :.ri.; „- ' `�_ 9. Facility operating with a valid health permit <br /> !e'e 3. No rodents,insects,birds or animals inside facility So. impoundment <br /> 51. Permit Suspension <br /> Received By/Title: <br /> EH Specialist: Phone: _ 3 Page 1 of 2 <br /> EHD 1623 (151 Pg) 4/8/12 11 coYJ FOOD PROGRAM OIR <br />