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D aD t", SAN JOAQUIN COUNTY <br /> °`' Ei LONMENTAL HEALTH DEPART' NT <br /> 304 Ehrtr eber Avenue, 3" Floor, Stockton, CA 9526-2708 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: A-at of Date: 3 I a C) <br /> Address: P(-� City: S.-IbL4--('Qty Zip Code: <br /> Owner/Operator: �, , 1 Telephone: 264 <br /> Itl <br /> Program Element: (y Program Record: ' t6 ( z J Inspection Type: U^rSc�X—Plfla"v <br /> 58180 Posted .Q Yes p-fslo Permit Posted ❑Yes,` Reinspection on or After: <br /> The items marked and/or listed below are violations detailed in the California Health&Safety Code(CHSC),commencing§113700. "Major"is a critical violation that <br /> poses an imminent risk to public health. Unless otherwise specified,violations marked"Major"must be corrected immediately or warrant immediate closure of the food <br /> establishment "Minor"indicates a violation that does not pose an imminent public health risk,but warrants timely correction w noted. <br /> Critical Risk Factors m.ur w., The marked violations represent Health&Safety Code Violations and must be corrected w follows: <br /> Improper holding temperature of potentiallyr� <br /> hazardous food t i �� S(� (.O V <br /> dr� <br /> Inadequate cooking temperatures/practices 3 4 (-(� 5t� C�-^, Y'�l?1C32'1f� TT; a+—:AJC-R_ <br /> o Improper reheating temperatures/ptactices 5 8 <br /> 0 <br /> Improper cooling practices 7 8 <br /> Adulturated/Contaminated food a 10 Z� S �,(' W:/ Cl r u m Piz- l/ I"i <br /> 00 <br /> Reused/retumed food 11 12 lAJ .v � ^r /(7,J'(' �q�-rnl j�,( 13,. <br /> L <br /> A Cross contamination or improper handling l�/O y� <br /> of Food/Utensils/E ui merit 13 14 J rip J, <br /> o Unapproved food source 15 18 5( S//1l r— •� /.Il/' Ld�tsl�it�h ,f,�p <br /> c <br /> Improper thawing of potentially hazardous <br /> food 77 78 I f C1 "ago <br /> tjrl S /� <br /> Ill employee/cuts/rashes 19 20 __ <br /> c <br /> s u <br /> _ a � Lack of proper hand washing procedure 21 &LIZA-13[t.y/s CQA9`s­CT g 3/fQ`0 6. <br /> c 'y-� = Required sink(s)/dish washing machine 23 24 �'��Ce�' <br /> c = - removed,inoperable,inainaccessiblele �r7t-h- Z <br /> Unsanitary Food Facility Conditions- 25 <br /> Criticiii/Non-Critical Area <br /> rz. Hot water not available 27 28 <br /> a <br /> Lack of potable water supply 29 30 <br /> r Improper sanitizer concentration methods/ 31 32 Uttestin equipment rM� ( rq - 40f F0 <br /> 00 AT <br /> Sewage system failure/back up 33 34 1[3t+.; &T A-LL rrr bi-� t <br /> c <br /> 3 �?$ <br /> le/accessible toilets 35 36 <br /> F, No operab <br /> Rodent/Ceckroacb/Other vermin infestation 37 38 7 <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF SAN JOAQUIN COUNTY BOARD OF SUPERVISORS. ALL <br /> DOCUMENTED CRITICAL HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT TO A REINSPECTION AND REINSPECTION FEE. ALL UNPAID CHARGES <br /> ASSOCIATED WITH THE FACILITY OWNER OF RECORD OR APPLICANT SHALL BE PAID PRIOR TO THE ISSUANCE OF A PERMIT TO OPERATE. <br /> ITEM/LOCATION TEMP ITEM/LOCATION TEMP ITEM/LOCATION TEMP <br /> V _MfE i4 f '$L WF 06-r ' 402- 2 elo <br /> Food Safety Certification Required: [I Yes[I No Time in: i <br /> am a out: ' t am - m <br /> Certificate Issued By: Date:_/_/_ Received By9l.- n <br /> Name on Certificate: Inspected By: l- <br /> EKE <br /> EM 16-02023 <br /> 3117aoo4 See Reverse Side For Additional Information Pagel of�L <br />