Laserfiche WebLink
ot,514!y, c SAN .JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> 4IFORe� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: 1 city: Zip Code: <br /> Owner/Operator. /21 Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted Yes ❑ Remit Posted ❑Yes ❑f Re-Inspection on or After: <br /> IN=In Compliance N/O=Not Observed N/A=Not Applicable COS=Corrected on-site 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 /> Major violations pose a threat to public health and must be corrected immediately. Non compliance may warrant closure of the food facility _. <br /> _ Demonstration of Knowledge supervision ou= <br /> 1. Demonstration of knowledge.food safety certificate 24. Person In Charge is present and performs duties <br /> Employee Health and Hygiene Personal Cleanliness <br /> Communicable disease', reporting, restrictions&exclusions 25. Personal cleanliness and hair restraints <br /> No discharge from eyes,nose,or mouth;no open wounds General Food Safety Requirements <br /> Proper eating.tasting.drinking.or tobacco use 28. Approved thawing methods used <br /> Preventing Contamination by.HanclAw <br /> 27. Food protected from contamination during storage <br /> Hands clean and properly washed;proper glove use 8. Washing fruits and vegetables before use <br /> Handwashing facilities supplied and accessible 9. Toxic substances properly identified,stored.and used <br /> Time and Temperature Relationship Food StoragetDisplay/ser4i <br /> Proper hot and cold holding temperatures 30. Food storage.food storage containers labeled <br /> Proper use of time as a public health control 1. Customer self-service food protected;individual utensils provided <br /> Proper cooling methods 2. Food properly labeled and honestly presented <br /> 10. Proper cooking time and temperatures <br /> 11. Proper on <br /> procedures for hot holding - 3. Nonfood contact surfaces clean <br /> Protection From Contamination 34. Warewashing facilities maintained;test strips available <br /> 12. No re-service of returned food j 35. Equipmentlutensils approved;installed;clean;good repair <br /> 13. Food free from contamination and adulteration 6. Equipment,utensils and linens:storage and use <br /> 14. Food contact surface cleaned and sanitized/warewas,11nc procedures 7. Vending machines maintained <br /> Food From A ource 38. Approved and sufficient ventilation and lighting <br /> 115. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible <br /> 16. Compliance with shell stock regulations;tags/display 40. Proper use and storage of wiping cloths <br /> 17. Compliance with Gulf oyster regulations Physical Facilities <br /> Conformance With Approved Procedures + 41 Plumhing maintainedproper back flow prevention <br /> "i 18. Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed <br /> Consumer Advisory -13 Toilet facilities clean,supplied,and maintained <br /> 19. Advisory provided for raw or undercooked food 14. Premises-personal cleaning items'.vermin-proofing <br /> Highly Susceptible Populations Permanent Food Facilities <br /> 0. Prohibited foods not offered at high risk facilities 5. Floors walls and ceiling are maintained and kept clean <br /> �^ Water/Hot Water 46. No living or sleeping quarters inside facility <br /> K1. Hot and cold potable water available. Compliance and Enforcement <br /> Liquid Waste Disposal 47. Signs posted;last inspection report available <br /> 2 Sewagehvastewater properly disposed toilet facility useable 48. Compliance with plan review requirements <br /> Vermin 49. Facility operating with a valid health permit <br /> 3 No rodents.Insects,birds or animals Inside facility0. Permit Impoutndment <br /> 51. Suspension <br /> Received By/Title: n indl Z 19• <br /> EH Specialist: Phone: v� .ry_! l I/ D PaCgJe 1 of <br /> �a hill? <br /> EHD 16-23 (1st p9) 419112 �C-�l E E FOOD PROGRAM OF <br />