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r a t"• SAN JOAQUIN COUN� ' ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95205-6232 .. �4. Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd tliapA - FOOD PROGRAM OFFICIAL INSPECTION REPORT Name of Facility: S n M 2C"-* Date: (4-00-Is b' Address: 12 LO `C/,_Q - City: Zip Code: Owner/Operator: W Telephone: Program Element: Program Record: 5 0 Z Inspection Type: l 8180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: IN=In Compliance WO=Not Observed NIA=Not Applicable COS=Corrected onsite MAJ=Major Violation OUT=Not in Compliance See reverse side for code sections and general requirements that correspond to each violation listed below. Major violations pose a threat to gublic health and must be corrected lmmedlafel . Non-compliance m2X warrant closure of the food facility -n--s_v '�..�.y*3-=1� 5.. �. +:,, _ -•'mss:-ts:--:. v `r�'r`��.r�� -r_�--z�a�:�rr� msu,T:a!l- wu- ]. Demonstration of knowledge;food safety certificate ,. 24. Person In Charge is present and performs duties _ Emp7oyaefiealtfi'iand 'L-T Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints No discharge from eyes,nose,or mouth;no open wounds ' ' , ., a _Ger►erai;Faod=Sa ety��i>qul►emen Proper eating,tasting,drinking,or tobacco use 6. Approved thawing methods used Prevericing;Contsmfna�fi nyst3er ds ;F. � 7. Food protected frorn conlarnination during storage Hands clean and property washed;proper glove use 28, Washing fruits and vegetables before use nom, Handwashing facilities supplied and accessible 29. Toxic substances properly Identified,stared,and used nd e`_reN p a resF�ationsh p -- � - i'oo i3Starage11�3s la'75erar,ce h �4�•�ime°a _m ar til_ _�fi• ,x��- `_=- --- - p�Y,m..�..__ ..�� Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled Proper use of time as a public health control 31. Customer self-service food protected;individual utensils provided q. Proper cooling methods 2. Food properly labeled and honestly presented 10. Proper cookingtime and tem erat&es - of mental UtensYis•1 rte-. � G 11. Proper reheating procedures for hoi holding33. Nonfood contact surfaces clean -+-,_'`'_ .� "`s == . 12. No re-service of returned food 35. EquipmenNutensils'approved;installed;clean;good repair 13. Food tree from contamination and adulteration 36. Equipment,utensils and linens:storage and use 4. Food contact surface cleaned and santtized/warewashing procedures 37. Vending machines maintained colli+AppYovecfhsourc ��.._ �Ybrt Approved and sufficient ventilation and lighting R'r i5. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible 111,6. Compliance with shell stock regulations;tagsidisplay 40. Proper use and storage of wiping cloths ,11 7. Compliance with Gulf oyster regulations 'r=c i?ti' alyEaces = SCnnformairceW"Approv edP,rocedures?r ;_ _ 41, Plumbing maintained;proper back flow prevention 18. Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed -w - s� GoiisimiierJilvio�j% - � -' 3. Toilet facilities clean,supplied,and maintained .. 19. Advisory provided for raw or undercooked food ' 4. Premises;personaVdeaning items;vermin-proofing - lglifySusaeptiltle'3PEopula#fons _ �_Permartertt3Food Faulib_e_s _ 0. Prohibited foods not offered at high risk facilities a a 5. Floors,walls and ceiling are maintained and kept clean P-'� , Wateil,Moi_1f11ater- 'nom T "` " � _, - -- '':�'� + � 6. No living or sleeping quarters inside facility _�.._ s potable water _Com"lltatt a da >fiifor ].Hot and coldtbltavailable. p p - - - - - - .� ��- ' 'Li uidzW s Uis nsa, � A� y 7. Signs posted;last inspection report available SFr 2. sewagefwastewater property disposed;tollet facility useable 48. Compliance with plan review requirements i Vermrn�_ M.E - 8. Facility operating with a valid health permit r' 3. No rodents,insects,birds or animals inside facility so. Impoundment 1, Permit Suspension eceived ByiTitle- W r,f J S I , H Specialist: Phone: ( ',!3 O3 Page 1 of �f� EHO]s•23{]sl pg) Wit _ FOOD PROGRAN 0111