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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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26 (STATE ROUTE 26)
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8339
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1600 - Food Program
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PR0544404
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COMPLIANCE INFO
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Last modified
11/20/2024 8:49:41 AM
Creation date
6/6/2019 2:41:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0544404
PE
1681
FACILITY_ID
FA0025245
FACILITY_NAME
SAKURA HIBACHI CATERING
STREET_NUMBER
8339
STREET_NAME
STATE ROUTE 26
City
STOCKTON
Zip
95215
CURRENT_STATUS
01
SITE_LOCATION
8339 HWY 26
P_LOCATION
01
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SANJ O A Q U I N Environmental Health Department <br /> —COU NTY <br /> !4. Cleaning-Describe the procedures you will use to clean and sanitize food contact surfaces,equipment, <br /> and utensils at the commissary. <br /> I dicate the specific sanitizer or sanitizing method that you will use by checking the box below: <br /> Contact with a solution of 100 ppm (parts per million)available chlorine for at least 30 seconds. <br /> ❑ Contact with a solution of 200 ppm available quaternary ammoniu for at least one(1)minute. <br /> Check the option you will use: ❑Commercial pre-mixed solution or I will prepare my own sanitizer solution <br /> Statements <br /> Initial next to the below statements indicating that you understand and will abide by them. <br /> 1 A Catering permit may be used to prepare and serve food at private events and host facilities only. <br /> P. 'J Operating at a Community Event or Certified Farmers'Market requires a separate health permit. <br /> All food must be prepared at the approved facility. Home preparation of food is prohibited. Only <br /> 2 limited food preparation, as defined in California Retail Food Code (CRFC), is allowed at an off-site <br /> food service event. <br /> ill When operating at an off-site food service event, a sign or business cards must be posted/provided <br /> 3 at the event premises stating the Caterer's business name and address. <br /> 4 All equipment, utensils and food related items shall not be stored in a private home when not <br /> conducting catering activities. <br /> Upon request, you must provide your operation schedule to EHD for inspection purposes. NOTE: <br /> S Operation at Host Facilities limited to four(4)hours in a twelve(12)hour period. <br /> 6 Mechanical refrigeration is required to hold all potentially hazardous food during operation; use of <br /> ice,portable cooling blocks,or ice chests/coolers is prohibited. <br /> At the end of the operational period, all multi-use utensils will be washed and sanitized at the <br /> approved commissary. <br /> IV 8 Have access to potable water. <br /> All garbage, refuse and liquid waste will be disposed of in an approved manner as approved by the <br /> k;�►ti 9 EHD. <br /> n,�iV 10 At the end of the operational period, all multi-use utensils will be washed and sanitized at the <br /> approved commissary/permitted food facility. <br /> Any food that has become contaminated,suspected of becoming contaminated or presumed unsafe <br /> �� 11 must be discarded. <br /> Acknowledgment <br /> I understand and agree that if I make changes to my operating procedures, I must notify the EHD within 7 days Failure to notify EHD <br /> of any changes may result in suspension or revocation of the Health Permit issued to me to operate as a Catering Operation. Ensure <br /> approvals are obtained from all applicable agencies prior to operation(e.g.,fire,zoning,etc.). <br /> Authorized Signature: Date: <br /> Print Name: &it Aja" Lt� kir i Title: tk/I Ie i <br />
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