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SAN J O h Q U I N Environmental Health Department <br /> COUNTY— Int <br /> a"'" Time In: 3:00 pm <br /> `OF.'R �r£Otn SS grows h�r4. <br /> Time Out: 4:00 om <br /> Food Program Complaint Inspection Report <br /> Name of Facility: SAMS PIZZA&MORE Date: 11/02/2018 <br /> Address: 3801 E MAIN ST, STOCKTON 95215 <br /> Owner/Operator: SAM ANG& ILEENE RITH TR Telephone: (209)463-7470 <br /> Program Element: 1600-FOOD PROGRAM Complaint#: C00047528 <br /> DESCRIPTION OF COMPLAINT ALLEGATIONS <br /> The San Joaquin County Environmental Health Department received the following complaint: <br /> COMPLAINANT WAS SERVED A BURGER WITH MOLDY BREAD ON MONDAY 10/01/18. RETURNED THE BURGER <br /> FOR A REFUND. <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 /> #23 Rodents, Insects or Animals Inside Facility <br /> OBSERVATIONS:Observed a few flies inside facility.Approved pest control to abate problems. Correct today. <br /> CALCODE DESCRIPTION:Each food facility shall be kept free of vermin:rodents(rats,mice), cockroaches,flies.(114259.1, 114259.4, <br /> 114259.5) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Spoke to owner, and states that burger was returned for refund but was not determined if mold was on bread. <br /> Bread is delivered three times a week from Athens bakery, located in fresno. <br /> Bread observed had no signs of mold. <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: Ileene Dith, owner <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)468-0337 <br /> FA0002329 C00047528 SCO04 11/02/2018 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Complaint Inspection Report <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />