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DEPARTMENT 7 ENVIRONMENTAL RESOURCES <br />3800 Co;, apia Way, Suite C, Modesto, CA 95358-9492 <br />Phone: 209.525.6700 • Fax: 209.525.6774 <br />www.stancounty.com/er <br />FOOD FACILITY INSPECTION OFFICIAL NOTICE <br />Facility: Wayvi.e v t {) ‘-&ik V t c--CL Date: - - Pg 1 of <br />Address: 50 0 —1-1-1.4 1..} . 1-- . -D Time In: <br />City: (),-(c,\47.) Zip: :",-' c- -27 C; (-1 Specialist: ----7) L j),\A <br />Purpose: q3 Permit El Routine D Vehicle El Complaint D F.B.I. n Re-inspection # El Other: <br />Permit Posted III No <br />111 Yes r] <br />Sanitizer Chlorine <br />PPM Food Safety Certification current 7 Yes <br />E] No <br />[1 N/A <br />D Quat. Ammonium <br />MAJOR <br />major <br />VIOLATIONS: Items marked below are <br />violations, and MUST be corrected <br />immediately. <br />immediate <br />Non-compliance may warrant <br />closure of the food facility. (§113925) <br />FOOD TEMPERATURES <br />CI Improper hot holding temperature of potentially <br />hazardous food ( unit(s)) <br />Li Improper cold holding temperature of potentially <br />hazardous food ( unit(s)) <br />0 Improper thawing of potentially hazardous food <br />CI Improper rapid cooling methods <br />0 Inadequate internal cooking temperature <br />0 Inadequate re-heating temperature <br />CI Inadequate refrigeration <br />PERSONAL HYGIENE <br />0 Hand washing facilities are inaccessible or poorly <br />maintained <br />0 Inadequate hand washing practices <br />E Other inappropriate hygiene practices <br />FOOD HANDLING <br />E Unapproved food source/product <br />E Inadequately sanitized work surfaces/equipment <br />El Cross contamination of food/utensil/equipment <br />El Improper sanitizer concentration/method <br />PLUMBING <br />E Hot water not available throughout facility <br />0 Lack of potable water supply throughout facility <br />CI Sewage backup <br />OTHER <br />E Rodent/Cockroach infestation <br />C Severe unsanitary conditions <br />C <br />Numbered items listed below are violations of California Health and <br />Safety Code, commencing §113700, and must be corrected. See <br />reverse side for corrective actions, as indicated in parenthesis <br />following the violations. <br />All hot holding units are maintaining potentially hazardous food at <br />°F or above unless otherwise noted. <br />All refrigeration units are maintaining potentially hazardous food at <br />' °F or below unless otherwise noted. <br />Hot water temperature noted at 1 - --- °F. <br />' of previously noted violation(s) have been corrected. <br />- <br />- i r Lk ;064 o vii\k* (-: ,L- 5 <br />( lilik vkt 1 cS (N-c) • (. (& C c)41 i ,;(, f % IA- Rag_ --1---o <br />5-00 1-6k (-)c- gua-ez-i-,-) <br />9* 0,, f 1 VOAt ArVitvt(6 p,101,-, <br />-7(--------7) ‘7,1b 1 C.A.JA-I Ij (,41....:--)A.S 1A.,-) <br />\-3------77-7A- 00 CI -7 ' clo r-f....A <br />7R.A),(1 IL •ftLe I;L-t e <br />0)1")( 1.( a C3c.tlifie 0 k <br />L- <br />Facility is closed until cleared by a representative from the Department of Environmental Resources - See <br />"Notice of Intent to El Revoke / CI Suspend Permit". <br />One re-inspection is conducted at no charge. An escalating service fee is <br />assessed for each additional re-inspection required. $ <br />will be charged if violations are not corrected by the compliance date. <br />COMPLIANCE <br />DATE: <br />Received by: Date: • \ <br />Original - DER Office / Yellow Copy - Facility Updated 7.27.2018