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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue 3`d Floor Stockton CA 95202-2708 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of f=acility: q Date: 0 i <br /> Address: City: Zip Code: i <br /> I <br /> Owner/Operator: r L Telephone: <br /> _ YOG_ :75 <br /> Program Element: i�l Program Record: � Inspection Type: i <br /> S13180 Posted Yes ❑ No Permit Posted 0 Yes ❑ No Reinspection on or After. <br /> i <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 of the food <br /> establishment. "Minor"indicates a violation that does not pose an imminent ublic health risk,but warrants timely correction as noted. <br /> Critical Risk Factors Ma or manor The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially �� <br /> hazardous food t 2 p <br /> ( <br /> Inadequate cooking temperatures/practices 3 4 � 0 _3//9/'P7_�//� j <br /> F •� a p <br /> o Improper reheating temperatures/practices 5 S <br /> 0 <br /> � F <br /> Improper cooling practices 7 8 <br /> Adulturated/Contaminated food 9 10 Ile " <br /> c , <br /> Reused/retumed food 11 12 <br /> .d <br /> o Cross contamination or improper handling 13 14 <br /> u. <br /> of Food/Utensils/Equipment <br /> cUnapproved food source 15 16 <br /> ct/?mob - i <br /> i <br /> uImproper thawing of potentially hazardous 17 18 <br /> food <br /> III employee/cuts/rashes 19 20 <br /> c Lack of proper hand washing procedure 21 22 AA <br /> m <br /> ,y Required sink(s)/dish washing machine 23 24 r t <br /> I <br /> c .0 removed,inoperable,inaccessible t <br /> u y Unsanitary Food Facility Conditions- 25 26 f <br /> Critical/Non-Critical Area _ �1 <br /> Hot water not available 27 28 A,4 /Lea,UV d� - <br /> R �! Lack of potable water supply 29 1 3 r <br /> Improper sanitizer concentration/methods/ �1 32 <br /> testing equipment <br /> Sewage system failurelback up 33 34 �. <br /> as c iii...ttt <br /> 3 d F No operable/accessible toilets 35 36 <br /> Rodent/Cockroach/Other vermin infestation 37 38 <br /> I <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF SAN IOAQUIN COUNTY BOARD OF SUPERVISORS. ALL% I <br /> DOCUMENTED CRITICAL HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT TO A REINSPECTION AND REINSPECTION FEE. ALL UNPAID CHARGES <br /> ASSOCIATED WITI%THE FACILITY OWNER OF RECORD OR APPLICANT SHALL BE PAID PRIOR TO THE ISSUANCE OF A PERMIT TO OPERATE. <br /> ITEM/LOCATION TEMP ITEM/LOCATION 'TEMP ITEM/LOCATION TEMP I <br /> - i <br /> Food Safety Certification Required: es❑No Time in: am/ Time am! <br /> Certificate Issued By., Date:_!_/_ Received By: <br /> Name on Certificate: inspected By: <br /> EHP 16-023 <br /> 311712oo4 See Reverse Side For Additional Information Pagel of_„� : <br />