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1 SAN JOAQUIN COUNTY <br /> op ENVIPtON?vIENTAL HEALTH DEPARTI�NT <br /> 304 East Weber Avenue, 3rd Floor, Stockton,CA 95202-2708 <br /> Telephone: (209) 468-'3420 rax. (209)464-0138 Web: www.sjgoV,0rg/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r I t� Afkkt Date: f 1 p tQ v{�J <br /> Address: 72 ' X4244 4. City: r tIU Zip Code: C/�OD,5 <br /> OwnerlOperatcr: Telephone:doz Ll�-�F`-3,-?2 <br /> Program Element: Program Record: Inspection Type: 61P-0 t <br /> S14180 Posted ❑Yes "SFJ'"" Permit Posted s ❑ No Reinspection on or After: <br /> The items marked and/or listed below are violations detailed in the CaIifoniia 14ealth&Safety Code(CI ISQ,commencing§1 13700. ";-Major"is a critical violation that <br /> poses an irrmincni risk to public health. Unless otherwise specified,violations marked"I Major"must he corrected immediately or warrant immediate closure of the food <br /> establishment. "-Minor"indicates a violation that does riot pose an imminent pUbliC health risk.but warrants timely correction as rioted. <br /> Critical Risk Factors \rajnr L%ii— The marked violations represent Health&Sa[ety Code Violations and must be corrected as follows: <br /> Improper holding temperature ol''potentially <br /> hazardous food <br /> Inadequate cooking temperatures/practices 3 4 <br /> F �J�p <br /> ILnproper reheating temperatures/practices 5 6 _ �]� �� �,1114e <br /> Improper cooling practices 7 8 � <br /> Adulterated/Contaminated food 9 10 r � &m't <br /> I Reused returned food 11 12 v 0;r6& ,It& <br /> ti <br /> I Cross contamination or improper handlinb13 14 <br /> i of Food/Utensils/Equipment CA` <br /> Unapproved Food source 15 16 <br /> C �} <br /> u Improper thawing of potentially hazardous 17 18 <br /> food <br /> _ 111 em loyee/cuts/rashes i9 20 `� E <br /> p L rti AM— 111t <br /> - I-ack of proper hand washing procedure 21 22 <br /> Required sinks)/dish washing machine L? <br /> 23 24 k�j <br /> c m •� removed,inoperable,inaccessible aXG <br /> Unsanitary food Facility Conditions 25 26 <br /> Critical/Ni Area C1G Z <br /> f1 Flol water not available 27 28 A24 <br /> 1 Y — i <br /> Lack of potable water supply 29 30 n yt� F p - ,,t/fi.y� <br /> j ' s Improper sanitizcr concentrationAnethods/ <br /> 31 32 l�2 X11 Jvtc r �if �I— <br /> testing equipment y� <br /> Sewage system failure/back up 33 34 <br /> to <br /> i No oporable!accessible toilets 35 36 n <br /> u y q <br /> cn i � 0 <br /> RodtnuCockroacit/Other vermin infestaU011 37 38 L� <br /> ENVIRON�1H,\TA1, HEALTH AND SERVICE CFIARGE FEES ARE AUTHORI"L.E:D BY RL-'SOLUTION 01-- SAN JOAQUIN COIJNI'Y BOARD Of= SUPERVISORS. ALL <br /> DOCLJNIENTED CRITICAL_ HI?ALTH V[OI..AI IONS OR REI'EAT VIOLATIONS ARE SLJBJFCI, -rO A REINSPECTION AND REINSPECj'ION FEL. AI,L UNPAID CHARGES <br /> ASSOCIATED W1'Ei-I THE FACILI'I-Y Ow\-ER Of`RECORD OR APPLICANT SHALE.BE PAID PRIOR TO 1`14F ISSUANCE OF A PF:RMI'r TO OPERATE. <br /> ITEIY!/L,OCATION TF_Nlf' ITELN'1/L.gCAT10N TEylP fTE\q/I..00A'F'[p\ <br /> I <br /> Food Safety Certification Required: Yps No ►Wi Time in: ` fr f pm Time out: rn " m <br /> j / <br /> Certificate Issued By: / Date:IC4` 1 Received BAF y <br /> F -~lame on Certificate: ±- inspected By: <br /> 7:NU 10-423 <br /> 3rl72004 See Reverse Side For Additional linformtttiou Page lof =�" <br />