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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />• .c4<rFdrtf'�P • Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siaov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: OD S <br />Date: D <br />Address: G C 1� p crrrj Lu -w <br />Y I� <br />Zip Code: <br />Owner/Operator, <br />Telephone: <br />Program Element: IProgram Record:PR M4 1 F3 1 17 <br />Inspection Type: <br />SB180 Posted WYes ❑ Rermit Posted ❑ Yes ❑ P <br />Re -Inspection on or After: <br />IN = In Compliance N/O = Not Observed NIA = 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 ublic health and must be corrected immediately.- Non compliance may warrant closure of the food facility_. <br />.ry <br />uc rrn Demonstration of Knowiedge,.u. <br />ar <br />cos <br />Supervision <br />ou* <br />1 Demonsba0on of knowledgefood safely certificate <br />( <br />24. <br />Poison In Charge is present and performs duties <br />Employee Health and Hygiene <br />Personal Cleanliness <br />I2_ Communicable disease_ reporting, restrictions &exclusions �� <br />25. <br />Personal cleanliness and hau rastra,nts <br />I I3. No discharge from eyes, nose, or mouth; no open wounds <br />General Food Safety Requirements <br />�14. Proper eating, tasting. drinking. or tobacco use <br />26. <br />Approved thawing methods used <br />Preventing Contamination by Hands <br />27. <br />Food protected from contamination during storage <br />15. Hands clean and properly washed: proper glove use 1 <br />28. <br />Washing fruits and vegetables before use <br />IF Handwashing facilities supplied and accessible_g. <br />Toxic substances propedy identifiedstored and used <br />TittreandTemperatureRetafionsfi - <br />7. Proper hot and cold holding temperatures <br />Food Sfo'ragetOisplay/Service <br />30. Food storage food storage containers labeled <br />Proper use of time as a public health control <br />1. <br />Customer self-service food protected; individual utensils provided <br />Proper cooling methods <br />10. Proper cooking time and temperatures <br />11 Proper reheating procedures for hot holding <br />,.Protection From corltarnmation <br />J 2. No re -service of returned food <br />2. <br />3. <br />Food properly labeled and honestly presented <br />Nonfood contact surfaces clean <br />. Warewashing facilities maintained; test strips available <br />5. Equipment/utensils approved; installed; clean; good repair <br />113. Food free from contamination and adulteration <br />36. <br />Equipment, utensils and linens: storage and use <br />'4 <br />14_ Food contact surfac F-sd and son ✓,.aix+ is no-roceuwes <br />37. <br />Vending machines maintained <br />- Food From Approved Source +: <br />38. <br />Approved and sufficient ventilation and lighting <br />15. Food obtained irons approved source <br />39. <br />Thermometers provided, accurate, and easily visible <br />16. Compliance with shell stock regulations; tags/display <br />40. <br />Proper use and storage of wiping cloths <br />Phys Ica I Facilities <br />17. Compliance with Gulf oyster regulations <br />Conformance With Approved Procedures <br />41. <br />Plumbing mamtamed; proper back flow prevention <br />1 R Compliance with HACCP plan or varierce conddions <br />Consumer Advisory <br />42. <br />Garbage and refuse properly disposed <br />43. Toilet facilities clean, supplied, and maintained <br />�19. Advisory provided for raw or undercooked food <br />44. <br />Premises: personal/cleaning items. vermin -proofing <br />Highly Susceptible Populations <br />L)0. Prohibited foods not offered a; high risk facilities <br />45. <br />Permanent Food Facilities <br />Floors walls and ceiling are maintained and kept clean <br />Water I Hot Water <br />4C. <br />No living or sleeping quarters inside facility <br />{21. Hot and cold potable water availahle. <br />Compliance and Enforcement <br />Liquid Waste Disposal <br />47. <br />Signs posted; last inspection report available <br />1122 sewagerwastewater property disposedtoilet facility useaple <br />48. <br />Compliance with plan review requirements <br />Vermin <br />I13 No rodents. insects. birds or animals inside facility <br />49, <br />50. <br />Facility operating with a valid health permit <br />Impoundment <br />51, <br />Permit Suspension <br />Received By/Title: <br />EH Specialist:I` � y,b t�' • -L L4L49-0Phone: <br />S6/, o Z Page 1 of <br />END 16-23 (1st pg) 419112 FOOD PROGRAM OR <br />