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SAN JOAQUIN COUNTY <br /> tNVIRONMENTAL HEALTH DEPA,,rMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . k Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> ati�oai� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: SSr.,C Date: <br /> Address: 3'f0 101 k m4 Lk, . City: 1._o d, Zip Code: S Z <br /> Owner/Operator: /2 osjs S+d"s Telephone: <br /> Program Element: I fo "ZZ) Program Record: 05-1633 6 Inspection Type: (`0 •�9 <br /> IS 8180 Posted 7LYes No Permit Posted lfYes No Re-Inspection on or After: <br /> IN=In Compliance N/O=Not Observed N/A=Not Applicable COS=Corrected on-site MAJ=Major Violation OUT=Not in Compliance <br /> See reverse side for code sections and general requirements that correspond to each violation listed below. <br /> Ma"or violations pose a threat to ublic health and must be corrected immediately. Non-corn liance may warrant closure of the food facility <br /> try W SNA '; .; <br /> Demonstration Knowledge Supervision � <br /> �`1. Demonstration of knowledge;food safety certificate 24. Person In Charge is present and performs duties <br /> Employee Healthand Hygiene Personal Cleanliness <br /> Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints Y <br /> No discharge from eyes,nose,or mouth;no open wounds Gerseral Food Safety RegufremenYs <br /> Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used <br /> G9Dtt?�1Ytt. .. S 7. Food protected from contamination during storage <br /> Hands clean and properly washed;proper glove use 28. Washing fruits and vegetables before use <br /> n <br /> Handwashing facilities supplied and accessible 29. Toxic substances properly identified,stored,and used <br /> b <br /> Proper hot and cold holding temperatures 30. Food storage;food storage containers labeled <br /> Proper use of time as a public health control 31. Customer self-service food protected;individual utensils provided <br /> Proper cooling methods 32. Food properly labeled and honestly presented <br /> S c. <br /> 0. Proper cooking time and temperatures <br /> 1. Proper reheating procedures for hot holding 33. Nonfood contact surfaces clean <br /> rotection From Containmah34. Warewashing facilities maintained;test strips available <br /> 12. No re-service of returned food 35. Equipment/utensils approved;installed;clean;good repair <br /> 13. Food free from contamination and adulteration 36. Equipment,utensils and linens:storage and use <br /> 14. Food contact surface cleaned and sanitized/warewashing procedures 37. Vending machines maintained <br /> 38. Approved and sufficient ventilation and lighting <br /> i15. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible <br /> 16. Compliance with shell stock regulations;tags/display 40. Proper use and storage of wiping cloths <br /> 7. Compliance with Gulf oyster regulations Physical.Facitities <br /> 1. Plumbing maintained;proper back flow prevention <br /> Conformance W ith Apemaay <br /> 18. Compliance with HACCP plan or variance conditions 42, Garbage and refuse properly disposed <br /> .•„ �. <br /> sumer Advil - 3. Toilet facilities clean,supplied,and maintained <br /> 19. Advisory provided for raw or undercooked food 44. Premises;personal/cleaning items;vermin-proofing <br /> Highly Susceptible Popui" tons', :y Permanent Food Facili es <br /> 0. Prohibited foods not offered at high risk facilities5. Floors,walls and ceiling are maintained and kept clean <br /> �. <br /> Water/Hot Water,%%` ,� --_ �, 6. No living or sleeping quarters inside facility <br /> 1.Hot and cold potable water available. I omphance and>enforcement <br /> liquid 1Na ,�..... ..... <br /> 7. Signs posted;last inspection report available <br /> Fmtie' <br /> ~2. Sewage/wastewater properly disposed;toilet facility useable 48. Compliance with plan review requirements <br /> 10061 yen 9. Facility operating with a valid health permit <br /> �_ . <br /> 3. No rodents,insects,birds or animals inside facility 50. Impoundment <br /> 51. Permit Suspension <br /> Received Bylritle: <br /> EH Specialist: Phone: � Page 1 of <br /> EHD 16.23 (1st pg) 4/9/12 FOOD PROGRAM OIR <br />