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Time In: 2.10 pm <br /> Time Out: 2:37 om <br /> Pgv�tY San Joaquin County <br /> �Q.��•cGG <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �... _ p• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �L�PORN; <br /> Food Program Complaint Inspection Report <br /> Name of Facility: LA SUPERIOR WATERLOO INC Date: 06/06/2017 <br /> Address: 1536 WATERLOO RD, STOCKTON 95205 <br /> Owner/Operator: LA SUPERIOR WATERLOO INC Telephone: (209)546-7950 <br /> Program Element: 1600-FOOD PROGRAM Complaint#: C00043544 <br /> DESCRIPTION OF COMPLAINT ALLEGATIONS <br /> The San Joaquin County Environmental Health Department received the following complaint: <br /> COMPLAINANT WENT INTO STORE ON 5/27, PURCHASED SWEET BREAD FROM THE SELF SERVE RACK. SON BIT <br /> INTO AN APPLE TURNOVER AND NOTICED A FUNNY TASTE AND INSPECTED THE BREAD AND REALIZED THERE <br /> WAS MOLD INSIDE AND OUTSIDE THE BREAD. COMPLAINANT SAID THIS MADE SON SICK AND VOMITED INSIDE <br /> THE PARKING LOT. WENT BACK INSIDE TO NOTIFY MANAGEMENT WHO PASSED IT OFF TO A CLERK WHO DID <br /> NOT DISPOSE OF OR REMOVE ANY OTHER ITEMS FROM SHELF. <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> This is a complaint inspection <br /> -Management aware of complaint. <br /> -Store director states they don't sell apple turnovers. They only sell pineapple and strawberry turnovers <br /> -Store director states the turnovers come premade and baked on site.They are made fresh every other day. <br /> -Opened a pineapple turnover and did not see any mold inside of it. <br /> Discard any moldy foods. <br /> Report emailed to aalvarado@lasuperiorfoods.com <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Alfred Alvarado, STORE DIRECTOR <br /> EH Specialist: LEYNA HUYNH Phone: (209)468-3446 <br /> FA0001649 C00043544 SCO04 06/06/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Complaint Inspection Report <br />