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aPa"f"• SAN JOAQUIN COUN', ` <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209) 464.0138 Web:www.sioov.org/ehd <br /> �rcoda <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: M4 rae2 Date: <br /> Address: _ City: Zip Code: <br /> Owner/Operator: ! Telephone: <br /> Program Element: 11"C51-1�7 Program Record: InspectionType: <br /> 8180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> IN=In Compliance N/O=Not Observed N/A=Not Applicable COS=Corrected onsite MAJ=Major Violation OUT=Not in Compliance <br /> See reverse side for code sections and general requirements that correspond to each violation listed below. <br /> Ma ar violations pose a threat to public health and must be corrected immediately. Noncom liance may warrant closure of the food facility <br /> tw".iu'b w on_tratw_had_LNnowledgers -*-� ,o�* mss" "'t'?'., ` �'�;Supervis�onrs ,.",-: r•. <br /> _.'611.: m .i�rsts . ^� <br /> 1. Demonstration of knowledge;food safety certificate - 4. Person In Charge is present and performs duties <br /> :�` -t;=u.., iR;;,yi?:�: £m to eHealth and Hy`ien '''r -�"-g 4�'', 'Y jP,ers'o`rial_Cleanlines'-s` <br /> _:moi' , -• I�z-r P-� _ _Yg__.. ' - .: L. _ .._..._. <br /> +curt�- <br /> 4: Communicable disease;reporting,restrictions 8 exclusions ;�. 5. Personal cleanliness and hair restraints_ <br /> No discharge from eyes,nose,or mouth;no open woundsGerreralfoodSafe Re uitemedts- <br /> „yf} Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used <br /> .. '..fes _-�- --..z. M. cr_--�r._c._ .''�^+s�•J.F'7it'$.S' Wit=. <br /> ��-' -��="-�P{eyenNn �ontemmetionrh HatMBT-�'': 7. Food protected from contamination during storage <br /> P 9 9 <br /> Hands dean and properly washed;proper glove use 28. Washing fruits and vegetables before use <br /> A-tk CFO . Handwashing facilities supplied and accessible . Toxic substances properly Identified,stored,and used <br /> ,r ^+T"1 -f-'' Time_and Tem <br /> RAN_eratureiie�atfoPsh �w'zc q' �: <br /> R_ ' <br /> Proper hot and cold holding temperatures 3o. 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 /> 10. Proper cooking time and temperatures '_ yEquipm' ehtUfens7ls,� <br /> . Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean <br /> OWL . <br /> iotecU n Flom Contamination " g' - 06. 34. Warewashing facilities maintained;test strips available <br /> 12. No re-seMce of returned food 35. Equipmentiutensils approved;installed;clean;good repair <br /> M13. Food free from contamination and adulteration 36. Equipment,utensils and linens:storage and use <br /> 14. Food contact surface cleaned and s_anitizednwarevrashing procedures 37. Vending machines maintained <br /> yovelSourcc"�w . Approved and sufficient ventilation and fighting <br /> .,._. *. __L_: <br /> `. 15. Food obtained from approved source _ 9. Thermometers provided,accurate,and easily visible <br /> 6. Compliance with shell stock regulations;tags/display 40. Proper use and storage of wiping cloths <br /> _._ _ t,� - _ ,_-z <br /> •'��r-?li-ic�f cllities� -�' � -' <br /> 17. Compliance with Gulf oyster regulations- - __ �.�-=`��- � ° y`s �a-. _- <br /> ;;���yhs_,r__.�.Corrtorrnanee WiUi�ApprovedProcetlures;;yrz�?�T"''' '3 1. Plumbing maintained;proper bade flow prevention <br /> . Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed <br /> F- t` K -'' - - Consumer=Advi5o[y -=..u_a _-- :,+ 3. Toilet facilities clean,supplied,and maintained <br /> 171'". Advisory provided for raw or undercooked food 44. Premises;personal/cleaning items;vermin-proofing <br /> - '='��'�-HiglilyS�uscePti6le Populatfons �-_"T•�_N-}t,. �*� _ 45. Floors, <br /> nriarientrF,00dracihbes <br /> . Prohibited foods not offered at high dsk facilities =_ 5 Floors,walls and ceiling are maintained and kept clean <br /> 6. No living or sleeping quarters Inside facility <br /> 9 P' 9q IY <br /> Yr ms • - Y a-:•':- �^ - txbalc �n+gy4'rl <br /> RP 1.Hot and cold potable water available. -- ..- -�Cotn Ilence:end'Etifocdementgu- -. <br /> 7. Signs posted:last inspection report available - <br /> a," s sewagetwastewater properly disposed;toilet facility useable 48. Compliance with plan review requirements <br /> sem- ism:-T39 - _N ..�Vem_in9. Facility operating with a valid health permit <br /> a -' 3. No rodents,insects,birds o inside facility 5o. Impoundment <br /> 51. Permit Suspension <br /> Received Synitle: <br /> EH Speelalist: pho :��- y��3 Page 1 of <br /> EHD 16-23 list pg) 41/1 FOOD PROGRAM CIA <br />