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f <br /> SAN JOAQUIN COUNTY 1= <br /> ENVIRONMENTAL HEALTH DEPARTMENCOMpLAINT —� I <br /> 600 East Main Street, Stockton, CA 95202-3029 COPY <br /> o Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT j <br /> Name of Facility: Date: r J <br /> Address: City: Zip Code: S� <br /> � 3 <br /> Owner/Operator: &0-0 Telephone: S _10/0 j <br /> Program Element: Program Record: ��3 Inspection Type: j <br /> �� I <br /> SB 180 Posted �t res ❑ No Permit Posted E res El No Reinspection on or After. <br /> The items marked andlor 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 2ose an imminent ublic health risk,but warrants timely correction as noted. <br /> Critical Risk Factors me•or minor The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially <br /> R hazardous food 1 2 tQ,QQ <br /> i E <br /> ar Inadequate cooking temperatures/practices 3 4 <br /> o Improper reheating temperatures/practices 5 6 <br /> o ` 1 <br /> w <br /> Improper cooling practices 7 8 7 <br /> i <br /> Adulturated/Contaminated food 9 10 <br /> Reused/retumcd food 11 1z <br /> o <br /> oCross contamination or im roper handling <br /> -d x of Food/Utensils/Equipment 13 14 <br /> o Unapproved food source 15 16 <br /> Improper thawing of potentially hazardous <br /> food 17 18 pvZ .cQ <br /> ` III employee/cuts/rashes 19 20 <br /> Lack of proper hand washing procedure 21 22 ~ <br /> ns IJL�L (j <br /> Required sink(s)/dish washing machine 23 24 1v F <br /> a removed,inoperable,inaccessible <br /> w Unsanitary Food Facility Conditions- (��,� <br /> w <br /> 25 26 <br /> Critical/Non Critical Area 9<0 <br /> a Hot water not available 27 28 <br /> iN <br /> � vI '.. Lack of potable water supply 29 30 ' <br /> = Improper sanitizer concentration/methods/ 31 32 i <br /> testing equipment i <br /> Sewage system failure/back up 33 34 I <br /> 3 No operable/accessible toilets 35 36 <br /> Rodent/Cockroach/Other vermin infestation 37 38 <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF SAN JOAQUIN COUNTY $OARD 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 /> ITEM/LOCATION TEMP IT Em/LOCATIO TEMP ITEM/ CA ION TEMP <br /> _ -3 s <br /> U' <br /> Food Safety Certi ication Required: Yes❑N Time In: a m Tim ut: /pm t <br /> , <br /> Certificate Issued By: Date:_/_I_ Received By. <br /> Name on Certificate: Inspected By: <br /> EHD 16-023 <br /> ; ,ar3 007 See Reverse Side For Additional Information Page Iof <br />