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} <br /> �/ co SAN JOAQUIN COUNTY <br /> /mow x ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3rd Fla tockton, 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 Facility: (4 Date: Z 5 110 <br /> Address: lLlqo City: iNN& Zip Code: <br /> Owner/Operator: G ✓,! L Telephone: <br /> Program Element: Program Record: 66 (sv Inspection Type: tvt f-- <br /> SB180 Posted ❑Yes No Permit Posted ❑ Yes_)Q,No Reinspection on or After: �<Lazid <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 timely correction as noted. <br /> Critical Risk Factors Major Minor The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially 1 2 / <br /> c hazardous food Plan auL, t <br /> 0E Inadequate cooking temperatures/practices 3 4 C /�-1 e 41"F. (NV V <br /> c Improper reheating temperatures/practices 5 6 R S r hv✓el S 67Ad d 19!Y . <br /> o _ I <br /> u. <br /> Improper cooling practices 7 8 ✓( <br /> Adulturated/Contaminated food 9 10 Z �QQ ( a ( kh hQl20GJ��n <br /> ou <br /> F Reused/retumed food 11 12 nv,, <br /> v <br /> o Cross contamination or improper handling lyJ� <br /> 0 °� z of Food/Utensils/Equipment 13 14 e- w /`( ( /r'� �n �'/�✓ g� <br /> u / <br /> c Unapproved food source 15 16 jS 607.PeGL r <br /> 0 <br /> L10m, <br /> proper thawing of potentially hazardousd 17 18 <br /> Ill employee/cuts/rashes 19 20 f pvl <br /> � � c <br /> G lack of proper hand washing procedure 21 <br /> • Required sink(s)/dish washing machine 23 24 A^ <br /> c •Q removed,inoperable,inaccessible �(' r Gl![ .�1;,C, <br /> U. w Unsanitary Food Facility Conditions- <br /> Critical/Non-Critical Area 25 26 / <br /> J / � <br /> 04 Hot water not available 27 28 <br /> lack of potable water supply 29 30 �0 ®INY�t/ 1 S 4v Pf-rCS <br /> Improper sanitizer concentration/methods/ J <br /> testing equipment 31 32 k14~ �l�h g474/ <br /> Sewage system faiiure/back up 33 34 G -7& <br /> _ <br /> v c <br /> on <br /> 3 No operable/accessible toilets 35 36 <br /> 0 v <br /> `n > Rodent/Cockroach/Other vermin infestation 37 38 <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF SAN JOAQiJIN COUNTY BOARD OF SUPERVISORS. ALL <br /> DOCUMENTED CRITICAL HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT TO A REINSPECTION AND REINSPECTION FEE. ALL UNPAID CHARGES <br /> ASSOCIATED WITH 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 ITENULOCATION TEMP <br /> lu,i wa G— 1h T <br /> 140 QGIc� In lttr✓ —1�'F 1�?l�rlld YlGfN—Ivt r, * 1?D¢"R '3 <br /> Food Safety Certification Required: Yes❑ No Al Time in: apm i ut: ' m <br /> Certificate Issued By: �t Date: /_/_ I Received By: <br /> Name on Certificate: Inspected By: <br /> EHD 16-023 <br /> 3/17/2004 See Reverse Side For Additional Information Pagel of <br />