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SAN JOAQUIN COUNTY H z� ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95205-6232 • �q.,, �,.�;� Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd �IFpR FOOD PROGRAM OFFICIAL INSPECTION REPORT Name of Facility: , i `M�� Date: n �1J c- Address: 20 pl �^,. �, ' AA„ i �, ]� City: w 1 Zip Code: n Owner/Operator: a� W. �' S UI AW'AlvV -tS l t % ��hcw / Telephone: vl _q9_7 oy Program Element: Program Record: Inspection Type: _I / B180 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑ Re-Inspection on or After: i♦ 3 IN=In Compliance N/O=Not Observed N/A=Not Applicable COS=Corrected on-site MAJ=Major Violation OUT=Not in Compliance See reverse side for code sections and general requirements that correspond to each violation listed below. Ma-or violations pose a threat to public health and must be corrected immediatel . Non-compliance may warrant closure of the food facility IN RIO WA Demonstration of Kr&ledge _ 1 Demonstration of knowledge.food safety certificate 4. Person In Charge is present and performs duties -11 Employee Health and Hygiene Communicable disease;reporting,restrictions&exclusions 5. Personal cleanliness and hair restraints 3. No discharge from eyes,nose,or mouth;no open wounds Proper eating,tasting.drinking.or tobacco use 26. Approved thawing methods used Preventing Contamination by' 27. Food protected from contamination during storage 5. Hands clean and properly washed,proper glove use 28. Washing fruits and vegetables before use Handwashing facilities supplied and accessible 29. Toxic substances properly identified,stored,and used Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled 8. Proper use of time as a public health control 31. Customer self-service food protected;individual utensils provided 9. Proper cooling methods 32. Food properly labeled and honestly presented 10. Proper cooking time and temperatures Equipment!Utensils/Linens 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean Protection From Contamination 34. Warewashing facilities maintained;test strips available 12. No re-service of returned food 35. Equipment/utensils approved;installed;clean;good repair ININERNIF 13. Food free from contamination and adulteration 36. Equipment,utensils and linens:storage and use 14. Food contact surface cleaned and sanitized/warewashing procedures 37. Vending machines maintained Ce 38. Approved and sufficient ventilation and lighting 15. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible 16. Compliance with shell stock regulations;tags/display 40. Proper use and storage of wiping cloths 17. Compliance with Gulf oyster regulations Physical Facilities Conformance With Approved Procedures 41. Plumbing maintained,proper back flow prevention 18. Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed Consumer Advisory 43. Toilet facilities clean,supplied,and maintained 19. Advisory provided for raw or undercooked food 44. Premises;personal/cleaning items;vermin-proofing Highly Susceptible Populations Permanent Food Facilities 0. Prohibited foods not offered at high risk facilities 45. Floors,walls and ceiling are maintained and kept clean WatgiWot Water 146. No living or sleeping quarters inside facility 21.Hot and cold potable water available. Compliance and Enforcement Liquid isposal 7. Signs posted,last inspection report available 2 Sewage/wastewater properly disposed:toilet facility useable 8. Compliance with plan review requirements Vermin 9. Facility operating with a valid health permit L!3. No rodents,insects,birds or animals inside facility 50. Impoundment 51. Permit Suspension Received By/Title: EH Specialist: Phone: _ L Page 1 of EHD 16-23 (1st pg) 419112 J FOOD PROGRAM OIR