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oP`t( \ .SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Jam' KI 600 East Main Street, Stockton, CA 95202-3029 <br /> ,k� <br /> �'. Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> I <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: City: Zip Code: <br /> Owner/Operator: - Telephone: g S" <br /> Program Element: '�r Program Record: 70 Inspection Type: 1Si7 <br /> SB180 Posted (O(Yes ❑No Permit Posted [K 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 2ose an imminent public health risk,but warrants timely correction as noted. <br /> Critical Risk Factors M:., minor The marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially 1 2 <br /> u hazardous food <br /> E <br /> 0 Inadequate cooking temperatures/practices 3 4 <br /> ' <br /> F- <br /> o0 <br /> Improper reheating temperatures/practices 5 6 <br /> 0 <br /> Improper cooling practices 7 6 <br /> Adulturated/Contaminated food 9 10 <br /> m <br /> c <br /> Reused/returned food 11 12 <br /> a <br /> c mCross contamination or improper handling <br /> x of Food/Utensils/Equipment 13 14 <br /> v. <br /> o Unapproved food source 15 16 <br /> 0 <br /> Improper thawing of potentially hazardous <br /> 17 18 <br /> food O Q S O <br /> .: III employee/cuts/rashes 19 20 v!S ' <br /> Lack of proper hand washing procedure 21 22 GO<✓! S /4' /1 D <br /> m m <br /> Required sink(s)ldish washing machine 23 24 <br /> o . removed,inoperable,inaccessible V t.C- eS /f ,/jy(. $O/7(iriLC,P� <br /> y Unsanitary Food Facility Conditions- / L <br /> Critical/Non-Critical Area 25 26 (� /� SIV <br /> ca Hot water not available 27 28 s-S. .n,,. <br /> c ep <br /> N <br /> Lack of potable water supply 29 30 <br /> 3 ° <br /> y Improper sanitize/concentration/methods/ <br /> testing equipment 31 32 <br /> Sewage system failure/back up 33 34 <br /> c <br /> ou <br /> 3 4 E No operable/accessible toilets 35 36 <br /> > 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 SHALL BE PAID PRIOR TO THE ISSUANCE OF A PERMIT TO OPERATE. <br /> ' ITEM/LOCATION TEMP ITEM/LOCATION TEMP ITEM/LOCATION TEMP <br /> W "fes <br /> Food Safety Certification Required: ❑Yes od NoTime in: r m(? Time 1/0 <br /> Certificate Issued By: Date:_/_/_ Received By: <br /> Name on Certificate: Inspected By <br /> EHD 16-023 <br /> 14/312007 See Reverse Side For Additional Information Page l of <br />