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E 600 Eaast Main Stet, ,StocktonCA 9 <br /> 5202-3429 - <br /> Telephone:(209)468-3420 Fax:(209)464-013$ Web:www.sjgov.org/ehd <br /> COPY <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: A Date: (F <br /> Address: City: Zip Code: > <br /> OwnerlOperator: Telephone: a <br /> Program Element: Program Record: 166 3 /6a Inspection Type: <br /> SB180 Posted XYes ❑No Permit Posted Yes ❑ No Reinspection on or After: <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 ofthe food <br /> establishment. "Minor"indicates a violation that does not ose an imminent public health risk,but warrants timely correction as noted. <br /> Critical Risk F a c t.o r slil <br /> Minor The marked violations represent Health&Safe Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially 2 _Q <br /> et hazardous food S�ZV0-7 G� <br /> I <br /> Inadequate cooking temperatures/practices 4 J I <br /> IV IV <br /> o Improper reheating temperaturesipractices 6 / � <br /> l a o <br /> jV <br /> Improper cooling practices e <br /> Adulturatc&Contaminated food 10 ' <br /> na - <br /> G I <br /> Reused/retumed food 12 <br /> i <br /> c A Cross contamination or improper handling 13 14 <br /> o <br /> of Food/Utensils/Equipment <br /> w <br /> I c Unapproved food source 15 16AIL <br /> l o <br /> Improper thawing of potentially hazardous 17 18 i <br /> food i <br /> Ill employee/cuts/rashes 19 20 <br /> I <br /> I' Lack of proper hand washing procedure 21 22 <br /> I <br /> ,Y Required sink(s)/dish washing machine <br /> 23 24 1 <br /> removed,inoperable,inaccessible <br /> r w w Unsanitary Food Facility Conditions- 25 26 r <br /> Critical/Non-Critical Area <br /> Hot water not available 27F32 <br /> a <br /> ad Lack of potable water supply 29 <br /> 3 <br /> improper sanitizer concentration)nethods/ I <br /> n31 <br /> testing equipment <br /> Sewage system failure/back up 33 34 <br /> opo <br /> No operable/accessible toilets 35 36 u <br /> Rodent/Cockroach/Other vermin infestation 37 38 <br /> i <br /> ENVIRONN ENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED 13Y RESOLUTION OF SAN JOAQUIN COUNTY BOARD OF SUPERVISORS. ALL ; <br /> L 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 PERNUT TO OPERATE. <br /> ITEWLOCATION TEMP ITEM/LOCATION TEMP ITEM/LOCATION TEMP <br /> w <br /> Food Safety Certification Required: Yes❑ No Time in: m Time t rf 1pm <br /> Certificate Issued By: <br /> Date:^I !� Received By:� <br /> Name on Certificate: Inspected By: r <br /> EHD 16-023 <br /> 413/2007 See. Reverse Side For Additional Information Pagel of <br />