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SAN JOAQUIN COUNTV- <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> "<2iFoaa" Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.siaov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> E <br /> S �h j N C ",re-o � Date:Ofi-eM/ e ," Ity. "�C-q Zip Code: 5-3341 <br /> r (1a C r'-l• � Telephone: Z3-/ �t: Program Recor . InspectionType:Yes No Permit Posted 1-Yes No Re-Inspection on or After: <br /> IN=In Compliance WO=Not Observed WA=Not Applicable COS=Corrected on-site MAJ=Mayor Violation OUT=Not in Compliance <br /> See reverse side for code sections and general requirements that correspond to each violation listed below. <br /> Or vio11 lations pose a threat to public health and must be corrected immediately. Non-com liana ma warrant closure of the food facility <br /> Demonstration of Knowledge Ma.t our. cos <br /> X 1. Demonstration of knowledge;food safety certificate 24. Person In Charge is present and performs duties <br /> and <br /> Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and heir restraints <br /> No discharge from eyes,nose,or mouth;no open wounds <br /> Proper eating,testing,drinking,or tobacco use 26. Approved thawing methods used <br /> 27. Food protected from contamination during storage <br /> X Hands dean and property washea,proper glove use 28. Washing fruits and vegetables before use <br /> Handwashing facilities supplied and accessible 29. Toxic substances property identified,stored,and used <br /> laifonship .. ...d ._..._......:. <br /> .. ..._ ..... . .-........... <br /> . <br /> Proper hot and mid holding temperatures 30. Food storage:food storage containers labeled <br /> Proper use of time as a public health control 3 t. Customer self-service food protectedindividual utensils provided <br /> Proper cooling methods 32. Food properly labeled and honestly presented <br /> 10. Proper cooking time and temperatures Ei ij , tl Utensils/Linens. <br /> /` 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean <br /> 4. Warewashing facilities maintained;test strips available <br /> 12. No re-seMce of returned food 5. Equipment/utensils approved;installed;clean;good repair <br /> x 13. Food free from contamination and adulteration 6. Equipment,utensils and linens:storage and use <br /> 14. Food Contact surface cleaned and sankized/warewashing Procedures 7. Vending machines maintained <br /> B. Approved and sufficient ventilation and lighting <br /> 15. Food obtained from approved source 9. Thermometers provided,accurate,and easily visible <br /> 16. Compliance with shell stock regulations;tags/display Proper use and storage of wiping cloths <br /> 7. Compliance with Gulf oyster regulations hies <br /> 1. Plumbing maintained;proper back flow prevention <br /> 18. ComDfiarfce wiM HACCP plan or variance conditions . Garbage and refuse property disposed <br /> . Toilet facilities dean,supplied,and maintained <br /> 19. Advisory provided for raw or undercooked food . Premises;perooneVof ring items;vermin-proofing <br /> . Prohibited foods not offered at high risk facilities Floors,wells and ceiling are malnta ned and kept clean <br /> . No living or sleeping quarters Inside facility <br /> 1.Hot and cold potable water available. <br /> 7. Signs posted;last inspection report available <br /> :y . Sewage/wastewater properly disposed;toilet facility useable 8. Compliance with plan review requirements <br /> '` 9. Facility operating with a valid health permit <br /> ,V 3. No rodents,insects,birds or animals inside facility 0. Impoundment <br /> 1. Permit Suspension <br /> ived By/Ritls:v <br /> H Specialist: Phone•2 Page 1 of Z <br /> EHD 16-23 (1st pg) 12/15IN r/�� / ©/�, FOOD PROGRAM DIP <br />