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,o.P .goc SAN JOAQUIN COUNTY <br /> a 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 /> C(adRd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: fvn ` ILA 60 Date: I <br /> Address: /'r,121V M City: 61WIL-tuN <br /> Zip Code: S <br /> Owner/Operator: v� t7 I 1 V Vit Telephone:Cl"I <br /> Program Element: Program Reecord: Inspection Type: <br /> B180 Posted XYes n Permit Posted ❑Yes D P Re-Inspection on or After: N <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 /> Mayo( violations pose a threat to public health and must be corrected immediatel . Non-compliance may warrant closure of the food facility <br /> ,r ,IN N. Demonstration of Knowledge (na.1 our Cos Supervision <br /> i_ L - <br /> �1 Demonsbanon of knovdedge food safety cedificate _. 24 Person In Charge is present and per orris duties <br /> Employee Health and Hygiene Personat Cleanliness <br /> 2. Communicable disease.reporting.restrictions&exclusions 25 Personal cleanliness and hair restraints <br /> 3. No discharge from eyes,nose,or mouth;no open wounds General Food Safety Requirements. <br /> N. Proper eating,tasting.drinking,or tobacco use 26. Approved thawing methods used <br /> Preventing Contamination by Hands 27. Food protected from contamination during storage <br /> 5. Hands clean and properly washed,proper glove use 23. Washing fruits and vegetables before use <br /> Handwashing facilities supplied and accessible 29. Toxic substances properly identified,storedand used <br /> wo Woo <br /> Food Storage/DispiayJService <br /> Proper hot and cold holding temperatures X 1 1 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 /> 10. Proper cooking time and temperatures - <br /> 11. Proper reheating procedures for hot holding 33 Nonfood contact surfaces clean <br /> coon From Contamination 34. Warewashing facilities maintained;test strips available <br /> 12. No re-service of returned food 1 35. Equipmentlutensils approved;installed;dean;good repair <br /> Food free from contamination and adulteration 36. Equipment,utensils and linens:storage and use <br /> 14. Food contact surface cleaned and samlizedv,arewas'rmg procedures 37. Vending machines maintained <br /> Food From Approved Source 38. Approved and sufficient ventilation and lighting <br /> X115. Food obtained from approved source 39. Thermometers provided,accurate.and easily visible <br /> 16. Compliance with shell stock regulations;tags/display 4D. Proper use and storage of wiping cloths <br /> 17. Compliance with Gulf oyster regulations �_ Physical Facilities <br /> Conformance With Approved Procedures 41. Plumbing maintained:proper back flow prevention <br /> 18. Compliance with HACCP plan or variance conditions 42 Garbage and refuse properly disposed <br /> Consumer Advisory 43. Toilet facilities clean,supplied,and maintained <br /> 19. Advisory provided for raw or undercooked food 44. Premises:personal/cleaning Items,vermin-proofing <br /> Highly Susceptible Populations Permanent Food Facilities <br /> Ito. Prohibited foods nal offered at high risk facilltles 45. Floors,walls and ceding are maintained and kept clean <br /> Water/Hot Water 46. No living or sleeping quarters inside facility <br /> '21 Hot and cold potable water available. Compliance and Enforcement <br /> Liquid Waste Disposal 7. Signs posted;last inspection report available <br /> 22 SewageMaslewater properly disposed.toilet facility useable 8. Compliance with plan review requirements <br /> Vermin - 9. Facility operating with a valid health permit <br /> 123. No rodentsinsects,birds or animals inside facility 50. Impoundment <br /> 1. Permit Suspension <br /> Received By/Title: <br /> EH Specialist: Phone: i Page 1 of <br /> iLo Lo <br /> EHD 16-23 list Pg) 419/12 FOOD PROGRAM OR <br />