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t <br /> SAN JOAQUIN COUNTY <br /> !� o <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> n rd <br /> OP i <br /> If M 'I 304 East Weber Avenue, 3 Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/chd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r Date: — ?� 47 <br /> Address: <br /> ti AK) City: Zip Code: <br /> Owner/Operator: Telephone: 57– 3 o,9 7 <br /> Program Element: t rogram Record: (LC)V� YW Inspection Type: <br /> SB180 Posted ❑'Yes ❑ No Permit Posted 2'yes ❑ No Reinspection on or After: <br /> The items marked and/or listed below are violations detailed in the California Health&Safety Code(CESC),commencing§113700. "Major"is a critical violation that <br /> poses an imminent risk to public health. Unless otherwise specitied,violations marked"Major"must be corrected immediately or warrant immediate closure of the 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 Factors M,i— Minor The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding.temperature of potentially <br /> 1 2 <br /> hazardous food <br /> 4 P p t� G �+ iii ' :✓� <br /> � Inadequate cooking tem eratures/ radices 3 4 <br /> i — <br /> 1 Improper reheating temperatureslpractices 5 6 j � �s � u-,f� - <br /> J <br /> 1 Improper cooling practices 7 8 t'/�F n_,•� r�• � <br /> Adulturated/Contaminated food 9 10 <br /> co <br /> G _ <br /> Reused/tetumed food 11 12 <br /> o T Cross contamination or improper handling 13 14 <br /> of Food/Utensils/Equipment <br /> L' <br /> Unapproved food source 15 16 <br /> c <br /> Improper thawing of potentially hazardous 17 18 <br /> toad <br /> I <br /> Ill employce/cutslrashes 19 20 <br /> 2 Lack of proper hand washing procedure 21 22 <br /> M Aim <br /> zy Required sink(s)/dish washing machine 23 24 <br /> C removed,inoperable,inaccessible <br /> C <br /> u. z Unsanitary Food Facility Conditions- 25 26 <br /> Critical/Non-Critical Area <br /> Hot water not available 27 28 <br /> 'Z Lack of potable water supply 29 30 <br /> Ir 5 Improper sanitizes concentration/methods/ 31 32 <br /> testing equipment <br /> Sewage system failure/back up 33 34 <br /> � c <br /> W <br /> 3 <br /> a3 No operable/accessible toilets 35 36 <br /> RodentlCockroach/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 PEE. ALI, 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 /> ITEM/LOCATION TEmp ITEWLOCATION TEMP ITEM/LOCAT[ON TENI P <br /> I j <br /> Food Safety Certification Required: Yes Elo Time in: �r � Time out: G m pm <br /> Certificate Issued By: 0l Date:_1_l Received r <br /> iv <br /> Name on Certificate: Inspected;B V. <br /> EHD 16-023 <br /> li <br /> 3/17/2004 See Reverse Side For Add'Itionat Informati Pagel of <br />