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z: NWffmi <br /> N 600 East Main Street"Stdckfri <br /> 95202��29 ' <br /> Telephone; (209)488-342Q Fax; (21}9)464-013[3 b-, <br /> FOOD PROGRAM OFFICIAL INSPECTION REP(j MPLALNT �. <br /> Name of Facility: <br /> Date: <br /> Address: 6.7 City: Zip Code: Zp <br /> Owner/Operator. L Telephoner <br /> r <br /> Program Element: r L ! Program Record: Inspection Type: <br /> S13180 Posted AYes ❑ No Permit Posted ,;A Yes ❑ No Reinspection on or After: <br /> t <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 public health risk,but warrants timety correction as noted. <br /> The marked violations represent Health&Safety Code Violations and must be corrected as <br /> .Critical Risk Factors Major I Minor follows: <br /> Improper holding temperature of 1 2 2 _ �� ! <br /> �. potentially3?hazardous food r� <br /> E Inadequate cooking 3 4 <br /> m <br /> temperatures/practices <br /> o Improper reheating <br /> o temperatures/practices 6 6 <br /> Improper cooling practices 7 8 <br /> Adulterated/Contaminated food 9 .1 <br /> a <br /> Reused/returned food 11 12 "+ <br /> o Cross contamination or improper <br /> O 06 2 handling of Food/Utensils/Equipment 13 14 ` <br /> u- <br /> o Unapproved food source 15 16 <br /> 0 <br /> LL Improper thawing of potentially 17 18 <br /> hazardous food <br /> a! III employee/cuts/rashes 19 23 <br /> Jto E f r + <br /> ainq <br /> g Lack of proper hand washing procedure 21 22 1 <br /> = Q Required sinks)/dish was machine 23 24 <br /> CU <br /> o .Z3 removed, inoperable, inaccessible <br /> r° _ Unsanitary Food Facility Conditions- 25 26 <br /> Critical/Non <br /> -Critical Area <br /> cr Hot water not available 27 28 <br /> c <br /> oks Lack of potable water supply 29 30 { t <br /> � C <br /> `) Improper sanitizer concentration/ r <br /> 31 32 <br /> methods/testing equipment <br /> Sewage system failure/back up 33 34 <br /> c <br /> 3 c No operable/accessible toilets 35 36 <br /> � y <br /> U) > Rodent/Cockroach/Other vermin 37 38 <br /> infestation <br /> 1 <br /> ENVIRONMENTAL WEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF SAN ,,IOAQUIN COUN:1'0 <br /> ARD OF SUPERVISORS. ALL <br /> DOCUMENTED'CRITICAL HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT TO A REINSPECTION AND REINSPFEE. ALL UNPAID CHARGES <br /> ASSOCIATED WITH THE FACILITY OWNER OF RECORD OR APPLICANT SHALL BE PAID PRIOR TO THE ISSUANCE OF A PERMITERATE. j <br /> ITEWIwOCATION TEMP ITEM/LOCATION TEMP ITEM/LOCATION TEMP <br /> Y <br /> Food Safety Certification Required: Yes❑ No a /' Time in: e a ! e m m <br /> Certificate issued By: Date:_I_I, Received By: <br /> Name on Certificate: Inspected 8y: <br /> FOOD PGRM OIR 9/24107 See Reverse Side For Additional Information Page 1 of�_ <br />