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SAN JOAQUIN 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.sigov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: 1 S G �ES FIS <br />G °a�'rJ2-O2_ 22� <br />Address: 31Z7_ -r.C_V 6v4 S N City: <br />Zip Code: <br />Owner/Operator: 12-W J 1 N CE T <br />Telephone: <br />Program Element: L6 36 Program Record: <br />Inspection Type: <br />8180 Posted a No Permit Posted Yes No I <br />Re -Inspection on or After: <br />IN = In Compliance WO = Not Observed NIA= Not Applicable COS = Corrected on -she 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 violations pose a threat to public health and must be corrected immediately. Non-compliance may warrant closure of the food facility <br />IN <br />(we'w> <br />:- rDemonstration of Knowledge t u ryuc <br />Supervision <br />cart <br />7 Demonstration of knowledge; food safety certificate <br />24. <br />Person In Charge is present and performs dubcs <br />Employee Health and Hygiene <br />Personal Cleanliness <br />Communicable disease', reporting, restrictions 8 exclusions <br />25. <br />Personal cleanliness and hair restraints r <br />No discharge from eyes, nose, or mouth; no open wounds <br />ort SafetyFie, uErements <br />bi_ Prcper eating, tasting, drinking, or tobacco use <br />26. <br />Approved thawing methods used <br />Preveri Contamination by Hands <br />27. <br />Food protected from contamination during storage <br />�5 Hands clear, and properly washed: proper glove use <br />28. <br />Washing fruits and vegetables before use <br />I Handwashing facilities supplied and accessible HEEE <br />29. <br />Toxic substances properly identified, stored, and used <br />Time and Temperature Relationship <br />- Food StoragefDispiay/Service <br />Proper hot and cold holding temperatures <br />30. <br />and storage: food storage containers labeled <br />Proper use of time as a public health control <br />31. <br />Customer self-service food protected; individual utensils provided <br />Proper cooling methods <br />32. <br />Food property labeled and honestly presented <br />10. Proper cooking time and temperatures <br />33. <br />Nonfood contact surfaces clean <br />11. Proper reheating procedures for hot holding i <br />Protection From Contamination <br />34. <br />Warewashing facilities maintained; test strips available <br />No re -service of returned food <br />35. <br />Equipment/utensils approved; installed; clean; good repair <br />F12 <br />13. Food free from contamination and adulteration <br />6. <br />Equipment, utensils and linens: storage and use <br />I14. Food contact surface cleaned and sanaizedrwarewashing procedures <br />37. <br />Vending machines maintained <br />- -Food From Approved Source <br />38. <br />Approved and sufficient ventilation and lighting <br />15. Food obtained from 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 />17. Compliance with Gulf oyster regulationsPhysics <br />_ <br />coriformarme With Approved Procedures <br />41. <br />Plumbing maintained; proper back flow prevention <br />h8. Compliance with HACCP plan or variance conditions <br />42. <br />Garbage and refuse properly disposed <br />Consumer Advisory <br />43. <br />Toilet facilities clean, supplied, and maintained <br />19 Advisor- provided for raw or undercooked food <br />44. <br />Premises; personal/cleaning items; vermin -proofing <br />Highly Susceptible populations <br />Permanent Food Facilities <br />0. Prohibited foods not offered at high risk facilities <br />45. <br />Floors, walls and ceiling are maintained and kept clean <br />Water / Hot Water <br />46 <br />No living or sleeping quarters Inside facility <br />' 1. Hof and cold potable water available. <br />` .Compliance and Enforcement <br />.Liquid Waste Disposal <br />47. <br />Signs posted: last inspection report available <br />F 2. Sewagc'wastewater properly disposed, toilet feci,ih useable <br />y <br />48. <br />Compliance with plan review requirements <br />Vermin <br />9. <br />Facility operating with a valid health permit <br />3. No rodents, insects. birds or animals inside facility <br />50. <br />Impoundment <br />51. <br />Permit Suspension <br />Received By/Title: ,; _ <br />EH Specialist: V CL.o �� Yr4 U � <br />Phone: ZOO , /, 4 Page 1 of <br />EHD16-23 (isipg) 4IW12 F000 PROGRAM OIR <br />