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u .N SAN JOAQUIN COUNTY <br /> f i\ ENVIRONMENTAL HEALTH DEPARTMENT <br /> `I 304 East Weber Avenue, 3rd Floor, Stockton,CA 95202-2708 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> .,q i'i F oft N�i <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: s y 4 � Date/oe .,p r. <br /> Address: / a � 7* SIr T City. -/ r #e Zip Code: 7S 37G <br /> Owner/Operator: Ic Telephone:5V216 S-/?81( <br /> Program Element: Ice O f Program Record:s'Rg7 Vve Inspection Type: _P/, <br /> SB180 Posted [±J� Nia Permit Posted a V=e n No Reinspection on or After: <br /> The items marked and/or listed below are violations detailed in the California Health&Safety Code(CHSC),commencing§1 13700. "Major"is a critical violation that <br /> poses an imminent risk to public health. Unless otherwise speci tied,violations marked"Major"must be corrected immediately or warrant immediate closure of the food <br /> establishment. "Minor"indicates a violation that does no[ ose an imminent ublic health risk,but warrants time) correction as noted. <br /> C r l t l c a l R I S k Factors vi.., mawr The marked violations re resent Health&Safet Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially 1 2 !`S <br /> hazardous food /�D <br /> E ROU! <br /> v Inadequate cooking temperatures/practices 3 4 <br /> H - <br /> o Improper reheating temperatures/practices 5 6 <br /> o ? $� <br /> tL Improper cooling practices 7 8 %p J <br /> Adulturated/Contaminated food 9 10 S Mi KS &KAJ <br /> w <br /> c <br /> Reused/returned food 11 12 IN RF _ /11 ^ � / r/K <br /> c <br /> o Cross contamination or improper handling 13 14 <br /> o `d = of Food/Utensils/Equipment t% <br /> 4 m <br /> c Unapproved(ood source 15 16 ^0 <br /> 0 <br /> t+- Improper thawing of potentially hazardous 17 18 �/z <br /> food <br /> ` III employee/cuts/rashes 19 20 /��('j �� <br /> v F <br /> _ u <br /> tack of proper hand washing procedure 21 22 (�. <br /> i r <br /> s Required sinks)/dish washing machine <br /> 23 24 <br /> o � '-' removed,ino erable,inaccessible <br /> °,-' t° Unsanitary Food Facility Conditions- <br /> - _ u 25 26 <br /> Critical[Non-Critical Area /�� <br /> m Hot water not available 27 28 O Q /y j / <br /> c <br /> oy � lack of potable water supply 29 30 <br /> 3 ° <br /> a Improper sanitizer concentration/methods! 31 32 <br /> n <br /> testin a ui ment <br /> Sewage system failure/back up 33 34 <br /> c <br /> a, <br /> 3 E No operable/accessible toilets 35 38 <br /> u °' <br /> �' > Roden t/Cockroach/Other vermin infestation 37 38 <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF SAN JOAQUIN COUNTY BOARD OF SUPERVISORS. ALL <br /> DOCUMENTED CRITICAL. HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT TO A REINSPECTION AND REINSPECTION FEE. ALL UNPAID CHARGES <br /> ASSOCIATED WIT14 THE FACILITY OWNER OF RECORD OR APPLICANT SHALL BE PAID PRIOR TO THE ISSUANCE OF A PERM[F TO OPERATE. <br /> ITEWLOCATION TEMP ITEM/LOCATION TEMP ITEM/LOCATIO.N TEMP <br /> ,5 2 <br /> r w _ �i <br /> Food Safety Certification Required: 4 Yes❑No Time in: .ai�� 1�aom/pmt/Time out: '!0 amlpm <br /> Certificate Issued By: <br /> Date:_/_/_ Received By: t!��- <br /> Name on Certificate: Inspected By: <br /> EIID 16-023 See Reverse Side For Additional Inf r a t n Pagel of <br /> 3,1712006- <br />