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SAN JOAQUIN COUI, .Y <br /> P: -1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.siaov.org/ehd <br /> 9CicORN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: 11-111-16, <br /> Address: / City: C / _U Zip Code: <br /> caner/Operator. JTTelephone: q/_V t-z 6-[ [l / <br /> Program Element: ogram Record <br /> Pr : on) Inspection Type: 7 L_i?_ <br /> SB180 Posted es No Permit Posted es No Re-Inspection on or After: <br /> IN=In Compliance N/O=Not Observed N/A=Not Applicable COS=Corrected on-site MAJ=Major Violation OUT=Not in Compliance <br /> See reverse side for code sections and general requirements that correspond to each violation listed below. <br /> _Major violations pose a threat to public health and must be corrected immediate)f. Non-compliance may warrant closure of the food facilit <br /> is nc vx Demonstration of Knowledge rw .: .<L '`Pervasion - our <br /> 1. Demonstration of knowledge:food safety certificate 4. Person In Charge is present and performs duties <br /> ;= '-;toad ti,ygrene .•:: ' :-. tonal Cleanliness <br /> 2. Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraint, <br /> 3. No discharge from eyes.nose,or mouth;no open wounds !, - .General Food Safety Requirements <br /> _a. Pe .gig.tasting,drinking,or tobacco use 26. Approved thawing methods used <br /> -__ <br /> Preventing 'i Hands 27. Food protected from contamination during storage <br /> 7. .;ai i. .Icon and ri col, v ash d proper glove u11 28. Washing fruits and vegetables before use <br /> _ Fanc aching facilities uupphed and accessible 29. Toxic substances properly identified.stored.and used <br /> Time and Temperature Relationship .._ Food$torage/Display/Service.:: <br /> Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled <br /> Proper use of time as a public health control 31. Customer self-service food protected:individual utensils provided <br /> Proper cooling methods i v r= 7 aL,,i„d aJ hone stiy presented <br /> - 10. Proper cooking time and temperatures Equip_rrtpnt/Utensils/Linens - <br /> 1/ 11. Proper reheating procedures for hot hol9mg ,n 4,, loon cin act surfaces clan <br /> "Protectich bond Contamination 34. Warewashing facilities maintained;test strips available <br /> 2 No res ice of ieturne i food 35. Equipment/utensils approved;installed;clean;good repair <br /> ;t 3. Food free from contamination and adulteration 36. Equipment,utensils and linens:storage and use <br /> '.14 Food contact surface cleaned and samtlzed/warewashing procedures 37. vending machines maintained <br /> Food From Approved Source - 8. Approved and sufficient ventilation and lighting <br /> •-15. Food obtained from approved source ! _ 39. Thermometers provided,accurate,and easily visible <br /> 6. Compliance with shell stock regulations;tags/display - 40_ I'mne:use and storage of wiping cloths <br /> . Compliance with Gulf oyster regulations Physical. des <br /> 'yllpproved.Procedures 41. Plumbug maintained:proper back flow prevention <br /> BE Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed <br /> 43. Toilet facilities clean.supplied.and maintained <br /> 9. Advisory provided for raw or undercooked food c r_ -iscs: ,I clean n_ tr �,'.va 1 i _ , r <br /> `ations Pe ;food Facilities <br /> 0. Prohibited foods not offered at high risk facilities in Fl ;.:els end ceiling are mainnuneJ IT)d Kept clean <br /> ' Wefet- 1Nater aC N li e.og., sleeping quarters inside facility <br /> _ _'J[9 potaole water available. <br /> Liquid Waste Disposal 47. Signs posted;last inspection report available <br /> =. Se, rste:a-cna propehy itis Os-it toiler or,J�1v us,abl, 48. Compliance with plan review requirements <br /> Vermin 9. Facility operating with a valid health permit <br /> vtililii�3. No rodents.insects,birds or animals inside facility 50. Impoundment <br /> 1. Permit Suspension <br /> Received By/Title: S <br /> EH Specialist: Phone: L363 Page 1 of <br /> F <br /> EHD123 flstpgl4/9,'12 O FOOD PROGRAM(OF <br />