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oq,4�IN• o SAN JOAQUIN COUNTY a ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95205-6232 �.. ;o • Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd ��lPORa FOOD PROGRAM OFFICIAL INSPECTION REPORT Name of Facility: Date: 9-1 7_1 ddress. (09 10 0 r PL- City: ,G +0�t0n Zip Code: 6f,5 20 Owner/Operator: 1_U5 D v r Telephone: 3 -g65-:2 Program Element: 1 to Program Record: Inspection Type:-A-87,10n!!j SB180 Posted Yes r-,' No Permit Posted Yes ❑ No Re-Inspection on or After: IN=In Compliance N/0=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. Major violations pose a threat to public health and must be corrected immediatel . Non-compliance may warrant closure of the food facility N wo wn Demonstration of Knowledge rnn our cos =gp ila-M,sr &T 1. Demonstration of knowledge;food safety certificate ;; 24. Person In Charge is present and performs duties Employee Health and Hygiene V'_ 2. Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints 3. No discharge from eyes,nose,or mouth;no open wounds General Food Safety_Requirements Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used y Preventing Contarrmmation by Hands 27. Food protected from contamination during storage Hands clean and properly washed;proper glove use 28. Washing fruits and vegetables before use 6. Handwashing facilities supplied and accessible 29. Toxic substances properly identified,stored,and used to' elatio ship - Food Sto_ragelDisp 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 C_ontam1:n i n 34. Warewashing facilities maintained;test strips available V1 1 12. No re-service of returned food 35. Equipmentlutensils approved;installed;clean;good repair 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 ood From Approved Source 38. Approved and sufficient ventilation and lighting 15. Food obtained from approved source __ 39. Thermometers provided,accurate,and easily visible 6. Compliance with shell stock regulations;tags/display 40. Proper use and storage of wiping cloths 7. Compliance with Gulf oyster regulations y5cal Facilities Conformance With Approved Procedures 41. Plumbing maintained;proper back flow prevention 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;persona[/cleaning items;vermin-proofing Hghly_Suscep blame Populations ___ Permanent Food Fa i _ . 20. Prohibited foods not offered at high risk facilities 5. Floors,walls and ceiling are maintained and 7clean WaterJ.Hot-11-Water 6. No living or sleeping quarters inside facility 21.Hot and cold potable water available. Compliance and Enforcement Liquid Waste Disposal 47. Signs posted;last inspection report available •22. Sewagelwastewater properly disposed;toilet facility useable 48. Compliance with plan review requirements e _ 9. Facility operating with a valid health permit 23. No rodents,insects,birds or animals inside facility 50. Impoundment 51. Permit Suspension Received By/Title: ' EH Specialist: -+ Phone: Page 1 of EHD 16-23(1st pg) 419/12 "1 FOOD PROGRAM OR