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SAN aJOAQUIN 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.si.gov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: riniazitii <br />V rrdw�,Au..� Date: 1 7,I <br />ddress:�-�' <br />City: Zip Code: <br />Owner/Operator.N,n ll!. ' a K O A vvii Telephone: <br />Program Element: Program ecoid: Ill Inspection Type: y� <br />8180 Posted ❑ Yes ❑ Rermit Posted ❑ Yes ❑ P 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 />Ma/or vrolatio_ ns pose a threat to public health and must be corrected immediately. Non-compliance may warrant closure of the food facility__ <br />e rwo <br />ma Demonstration of Knowledge -i ;wr eus <br />Supervision uur <br />1 Demonstration of knowledge. food safety certificate <br />24. Person In Charge is present and performs duties <br />Employee Health and Hygiene - <br />Personal Cleanliness <br />Communicable disease, reporting, restrictions 8 exCIu510115 ,; <br />25. Personal cleanliness and hair restraints <br />No discharge from eyes, nose, or mouth; no open wounds <br />General Food Safety. Requirements <br />Proper eating, tasting, drinking, or tobacco use <br />Hands clean and properly washed; proper glove use <br />26. Approved thawing methods used <br />7. Food protected from contamination during storage <br />8. Washing fruits and vegetables before use <br />Handwashing facilities supplied and accessible <br />Proper hot and cold holding temperatures <br />9. Toxic substances properly identified, stored, and used <br />0. Food storage; food storage containers labeled <br />Proper use of time as a public health control <br />1. Customer self-service food protected; individual utensils provided <br />Proper cooling methods <br />2. Food properly labeled and honestly presented <br />10. Proper cooking time and temperatures <br />,11 Proper reheating procedures for hot holding <br />- Protection From <br />33. Nonfood contact surfaces clean <br />34. Warewashing facilities maintained; test strips available <br />12_ No Ie -service of returned food <br />35. Equipment/utensils approved; installed; clean; good repair <br />a3 Food free from contamination and adulteration <br />36. Equipment, utensils and linens: storage and use <br />r 114 Food -on-ac, surface cleaned and sanitizedrwarewashing proceduresM <br />Vending machines maintained <br />air M-7. <br />Food From Approved Source - " <br />38. Approved and sufficient ventilation and lighting <br />15. Food obtained from approved source <br />16. Compliance with shell stock regulations; tags/display <br />17_ Compliance with Gulf oyster regulations i <br />39. Thermometers provided. accurate, and easily visible <br />40. Proper use and storage of wiping cloths <br />Physical Facilities <br />Conformance With Approved Procedures <br />41. Plumbing maintainedproper back now prevention <br />18. Compliance with HACCP plan or Vanance conddions 1 <br />2. Garbage and refuse properly disposed <br />Consumer Advisory <br />43. Toilet facilities clean, supplied, and maintained <br />19. Advisory provided for raw or undercooked food <br />44 Premises- personal/cleaning items'. vermin -proofing <br />Highly Susceptible Populations <br />Permanent Food Facilities <br />I`20 Prohibited foods not offered at high, risk facilities <br />45. Floors, walls and ceiling are maintained and kept clean <br />' Water f Hot Water <br />46. No living or sleeping quarters inside facility <br />X21. Hot and cold potable water available <br />Compliance and Enforcement <br />Liquid Waste Disposal <br />47, Signs posted, last Inspection report available <br />P2. Sewage/wastewaler properly disposedtoilet facility useable <br />48. Compliance with plan review requirements <br />- Vermin - <br />9. Facility operating with a valid health permit <br />3. No rodents, insects birds or animals inside faa0ty <br />50. Impoundment <br />1. Permit Suspension <br />Received By/Title: <br />EH Specialist: _ Phone: I h Page 7 of <br />EHD 16-23 (1st1 419112 FOOD PROGRAM OR <br />