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4g'N. SAN JOAQUIN COUNTY <br />w ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />•'CqG,� -„ajP Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />IFdIR <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: A ` CDO_�s_N L 5AIJ Mk6t46I, <br />Date: ID I -2 <br />Address: _ 4 rQ I 1ZT City. <br />Zip Code: 0.6 <br />Owner/Operator: .P� N G <br />Telephone: <br />Program Element: Program Record: Pp,05 5 6 <br />Inspection Type: <br />s8180 Posted Wes ❑ No Permit Posted O Yes ❑ No <br />Re4nspectton on or After: <br />IN = In Compliance N/O = Not Observed WA = 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 />Ma"oI r violations pose a threat to pubLfc health and must be corrected immediatel . Non-compliance may warrant closure of the food facilit <br />Demonstratoonn�,o.y nowledge <br />1s - <br />1. Demonstration of knowledge; food safety certificate <br />24. <br />Person In Charge is present and performs cl 0 <br />jjjj§hWjjLE loyee Healt a tl'Hygiens �'"- <br />2. Communicable disease; reporting, restrictions & exclusions <br />1.,4-13. No discharge from eyes, nose, or mouth; no open wounds <br />25. <br />26. <br />a -can A <br />Personal cleanliness and hair restraints <br />,00d Safety Requirements • ,- <br />Approved thawing methods used <br />Proper eating, tasting, drinking, or tobacco use ® <br />ma on <br />5. • Hands clean and property washed; proper glove use <br />7. <br />Food protected from contamination during storage <br />8. <br />Washing fruits and vegetables before use <br />® 6. Handwashing facilities supplied and accessible <br />29. <br />Toxic substances properly identified, stored, and used <br />au. R tato <br />ort o • SO yss% c <br />Proper hot and cold holding temperatures <br />30, <br />Food storage; food storage containers labeled <br />8. Proper use of time as a public health control <br />31. <br />Customer self-service food protected; individual utensils provided <br />9. Proper cooling methods <br />32. <br />Food properly labeled and honestly presented <br />10. Proper cooking time and temperatures <br />Equipment l Utensils l Linens - - <br />11. Proper reheating procedures for hot holding <br />33. <br />Nonfood contact surfaces clean <br />. -mmaimmarga 1300 <br />12. No re -service of returned food <br />34. <br />35. <br />Warewashing facilities maintained; test strips available <br />Equipment/utensils approved; Installed; clean; good repair <br />-� <br />13. Food free from contamination and adulteration <br />36. <br />Equipment, utensils and linens: storage and use <br />-, <br />14. Food contact surface cleaned and sanitized/warewashing procedures <br />37. <br />Vending machines maintained <br />ed;Sourea <br />38. <br />Approved and sufficient ventilation and lighting <br />15. Food obtained from approved source <br />9. <br />Thermometers provided, accurate, and easily visible <br />16. Compliance with shell stock regulations; tags/display <br />0. <br />Proper use and storage of wiping cloths <br />17. Compliance with Gulf oyster regulations <br />p oee es <br />1. <br />Plumbing maintained; proper back flow prevention <br />- 18. Compliance with HACCP plan or variance conditions <br />2. <br />Garbage and refuse properly disposed <br />- o s d ory <br />3. <br />Toilet facilities clean, supplied, and maintained <br />Premises; personalAdeaning items; vermin -proofing <br />19. Advisory provided for raw or undercooked food <br />g e 1 I tan <br />46. <br />Floors, walls and ceiling are maintained and kept dean <br />101 20. Prohibited foods not offered at high risk facilities <br />6. <br />47. <br />48. <br />No living or sleeping quarters inside facility <br />- <br />Signs posted; last inspection report available <br />Compliance with plan review requirements <br />MEM"e o a <br />1. Hot and cold potable water available. <br />gluguitilwa-stgu- <br />2. Sewagetwastewater properly disposed; toilet facility useable <br />Facility operating with a valid health permit <br />NEP3. No rodents, insects, birds or animals inside facility <br />50. <br />Impoundment <br />1. <br />Permit Suspension <br />Received By/Title: <br />EH Specialist: <br />Phone: 2d 576 G•p %c3 Page 1 oft <br />EHD 1&23 (1st pg) 0112 FOOD PROGRAM OIR <br />