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I SAN JOAQUIN COUNTY Y' �o 2< ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.s ov.or lehd {IFO� FOOD PROGRAM OFFICIAL INSPECTION REPORT r,�,�b pate: [d7dress: : C-1 11160_0� City: &to�� zip Code:q5�� �G � EUL� Telephone: r: +nR ��Ct 1►vt Program Record: Inspection Type: Program Element: Z 9 B180 Posted yes D Rermit Posted es u t Re-Inspection on or After: IN=In Compliance NIo=Not Observed NIA=Not Applicable COS=Corrected on-site 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 ose a threat to public health and must be corrected immediate! . Non-compliance may warrant closure of the food facility s .. m 1. Demonstration of knowledge;food safety certificate 24. Person In Charge is present and performs duties v 3 ora " Communicable disease;reporting,restrictions R exclusions 25. Personal cleanliness and hair restraints No discharge from eyes,nose,or mouth;no open wounds I ' Proper eating,tasting,drinking,or tobacco use N 26. Approved thawing methods used ` 27. Food protected from contamination during storage Hands clean and properly washed;proper glove use 28. Washing fruits and vegetables before use Handwashing facilities supplied and accessible 29. Toxic substances properly identified,stored,and used 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 9. Proper cooling methods 32. Food properly labeled and honestly presented / 10. Proper cooking time and temperatures 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean .. 1 « '"" `°'`" y 34. Warewashing facilities maintained;test strips available 12. No re-service of returned food 35. Equipment/utensils approved;installed;clean;good repair 13. Food free from contamination and adulteration 36. Equipment,utensils and linens:storage and use 14. Food contact surface cleaned and sanitizedlwarewashing procedures 37. Vending machines maintained >° m `."" � �� _��: y�° 38. Approved and sufficient ventilation and lighting 15. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible 16. Compliance with shell stock regulations;tagsldisplay 40. Proper use and storage of wiping cloths ,y 17. Compliance with Gulf oyster regulations # ........ ......_.,.. .+_v COO 101I'I;t� .: 1. Plumbingmaintained;properbackflow prevention 18. Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed nsctt�tl+rd%'d ?! 43. Toilet facilities clean,supplied,and maintained 9. Advisory provided for raw or undercooked food 4. Premises;persona llcleaning items;vermin-proofing �:'............. ...........:: !...,.._.:......_"a. �� ,-��,,, �' ' eta o t« t D. Prohibited foods not offered at high risk facilities 3. 5. Floors,walls and ceiling are maintained and kept clean No living or sleeping quarters inside facility 1.Hot and cold potable water available. 1f3I €t° 7. Signsposted;last inspection report available " ' 2 Sewa elwastewater properly disposed;toilet facility useable 48. Compliance with plan review requirements 9. Facility operating with a valid health permit UM- 3. No rodents,insects,birds or animals inside facility IL_ 50. Impoundment 51. Permit Suspension Received By/Title: EH Specialist: Phone: / 40b2 Page 1 of 2 EHD 16-23 (1st pg) 419112 U FOOD PROGRAM OIR