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SAN)J DAIJ I N Environmental Health Department <br /> sr <br /> C 0 U NTY <br /> Greatness grows here. <br /> Time In: 2:10 pm <br /> Time Out: 2:40 om <br /> COMPLAINT INSPECTION REPORT <br /> Name of Facility: SAMS PIZZA&MORE Date: 05/17/2021 <br /> Address: 1854 COUNTRY CLUB BLVD, STOCKTON 95204 <br /> Owner/Operator: HAK,VANNARA Telephone: (209)463-0210 <br /> Program Element: 1600- FOOD PROGRAM Complaint#: C00053769 <br /> Responsible Party Contact: <br /> DESCRIPTION OF COMPLAINT ALLEGATIONS <br /> The San Joaquin County Environmental Health Department received the following complaint: <br /> COMPLAINANT ORDERED FOOD FOR DELIVERY ON 5/5/21. COMPLAINANT ORDERED CA CHICKEN BOWL AND <br /> WHEN THEY STARTED EATING THEIR FOOD, THEY DISCOVERED A MAGGOT. COMPLAINANT STOPPED EATING <br /> THE FOOD AND HAD CO WORKERS STOP EATING THEIR FOOD. COMPLAINANT CALLED AND LET THE <br /> EMPLOYEE AT THE FACILITY KNOW AND THEY RECEIVED A FULL REFUND. COMPLAINANT HAS PHOTOS. <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 3 door prep--40.00°F rice--146.00°F <br /> walk in--41.00°F <br /> NOTES <br /> Spoke to owner who was aware of this complaint. Customers showed her a dead tiny green worm in their food and customer <br /> got a refund. Owner thinks that it was in the broccoli. <br /> This bowl comes with rice, carrots, broccoli, cabbage, and meat.Vegetables are rinsed and cooked. Stored in walk in cooler. <br /> When order is placed, meat is cooked and vegetables warmed up. Severed with hot rice. <br /> Observation:All raw veggies look very fresh. Did not see any worms. No evidence of any vermin (flies). <br /> All food temperatures are acceptable <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Taingney Kea, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)616-3051 <br /> FA0001902 C00053769 SCO04 05/17/2021 <br /> EHD 16-23 Rev.01/07/2021 Page 1 of 1 Complaint Inspection Report <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br />