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�o• qu �o SAN JOAQUIN COUNTY <br /> Q 'i1 <br /> Er, - ,ONMENTAL HEALTH DEPART NT <br /> y ` 304 Ea,, Weber Avenue, Yd Floor, Stockton, CA 95Lu2-2708 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> 4�/i`oRavP <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ` Date: S ��— <br /> Address: 2 D n ffw 4 n Zip Code:q f--23 <br /> Owner/Operator: - Telephone: <br /> 6i,3- 7v <br /> Program Element: 6 D� rogram Record: �� Inspection Type: <br /> rS B 180 Posted ❑Yes ❑ No Permit Posted ❑Yes []No 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 eublic health risk,but warrants timely correction as noted. <br /> Critical Risk Factors Major Minor The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially <br /> n hazardous food 1 2 <br /> E <br /> d Inadequate cooking temperatures/practices 3 4 <br /> F <br /> oImproper reheating temperatures/practices 5 6 _ ga <br /> o F <br /> w <br /> Improper cooling practices 7 8 <br /> Adulturated/Contaminated food 9 10 42 / o <br /> oq 'e <br /> e <br /> Reused/retumed food 11 12 �4 r <br /> to alk 17 11 <br /> cCross contamination or improper handling <br /> w °� x of Food/Utensils/Equipment 13 t 4 I L e C/iea -Pte]/S ✓"r <br /> o Unapproved food source 15 16 ?- C <br /> O -7 <br /> u. Improper thawing of potentially hazardous <br /> food 17 18 si n <br /> L <br /> _ ill employee/cuts/rashes 19 20 r� l� <br /> �3 - <br /> V y C <br /> ro '� Lack of proper hand washing procedure 21 22 q/e fe �„�pyJs Q v`/ v <br /> -y <br /> Required sink(sydish washing machine 23 24 J'c <br /> °o removed,inoperable,inaccessible <br /> w w Unsanitary Food Facility Conditions- <br /> CriticalMon-CriticalArea 25 26 /S (/fQr v�y /�lllij <br /> ,q Hot water not available 27 28 <br /> a <br /> � N <br /> -;1 Lack of potable water supply 29 30 C7 <br /> J'? <br /> 3 G 7 <br /> Improper sanitizer concentration/methods/ <br /> testing equipment 31 32 J G <br /> Sewage system failure/back up 33 34 <br /> a G f <br /> �. <br /> eo — ` <br /> 3 E No operable/accessible toilets 35 36 <br /> 0 v <br /> M > Rodent/Cockroach/Other vermin infestation 37 38 <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 SI TALL BE PAID PRIOR TO TI IE ISSUANCE OF A PERMIT TO OPERATE. <br /> ITEM/LOCATION TEMP ITEM/LOCATION TEMP ITEWLOCATION TEMP <br /> Food Safety Certification Required: ❑Yes❑No Tim" o am/pm <br /> 7 <br /> Certificate Issued By: Date:_!_/ Received By:_ <br /> Name on Certificate: Inspected By: <br /> EHD 16-02-023 <br /> 3/17/2004 See Reverse Side For Additional Information Page Iof <br />