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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: :7//Y/)7 <br /> Address: t City: Zip Code: '� Q - <br /> Owner/Operator: /f �pI.j Telephone: c _ <br /> Program Element: Program Record: Inspection Type: <br /> i <br /> SB 180 Posted Yes []No Permit Posted Yes E] No Reinspection on or After:U/'n�j <br /> The items marked and/or listed below are violations detailed in the California Health&Safety Code(CHSC),commencing§113700. "Major"is a critical violation that <br /> poses an imminent risk to public health. Unless otherwise specified,violations marked"Major"must be corrected immediately or warrant immediate closure of the food <br /> establishment. "Minor"indicates a violation that does not pose an imminent public health risk,but warrants timely correction as noted. <br /> Critical Risk Factors M.or mi... The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially 1 2 <br /> c, hazardous food rl /�( i / <br /> E Inadequate cooking temperatures/practices 3 4 /" �, L p�A � ��� c <br /> AAA �J <br /> c Improper reheating temperatures/practices 5 6 C; �. <br /> 0 <br /> w <br /> Improper cooling practices 7 6 P <br /> .i A- <br /> fl Id <br /> Adulturated/Contaminated food 9 10 ' ^ <br /> c <br /> ;tam <br /> reIsIE <br /> food 11 72 ' <br /> v <br /> o m onion or improper handling 13 14 /' ✓ � <br /> o °� = Food/Utensils/Equipment / <br /> 4 <br /> o ovsource t5 16 <br /> aL er g of potentially hazardous 17 16 ./1, 0* ,lo /rashes 19 20 •{„pand washing procedure 21 22 d /dish washing machine 23 240d, ble,inaccessible T^ <br /> m =` Unsanitary Food Facility Conditions- <br /> CriticalMon-Critical Area 26 /<'(./>i�rn'/.,?i �Y1� • 7 /� ' <br /> ,a Hot water not available 27 28 <br /> c <br /> m Lack of potable water supply 29 30 <br /> Yee3 <br /> m <br /> improper sanitizer concentration/methods/H31 32 i <br /> testing equipment <br /> Sewage system failure/back up 33 [34.J+ E No operable/accessible toilets 35 !/t'� le <br /> ROdent/Cockroach/Other venin infestation �^ V \ C <br /> � IC � iC � a Lc i4ie.- ' <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF fAN 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 WITH THE FACILITY OWNER OF RECORD OR APPLICANT SHALL BE PAID PRIOR TO THE ISSUANCE OF A PERMIT TO OPERATE. <br /> ITEVLOCATION I TEMP _ IVMILOCATION ITEMPI ITEM/LOCATION TEMP <br /> d 1C <br /> /Lo D <br /> Food Safety CeRification Required: k]Yes❑ No Time in: a /KJ Ti out, am(�/ <br /> Certificate Issued By: Date:_/_/_ {� Received By: / _ <br /> Name on Certificate: Inspected By:' `�/ <= <br /> EHn 16-023 <br /> 4/312007 See Reverse Side For Additional Information Pagel of <br />