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/0�!N SAN JOAQUIN COUNTY <br /> Q: ENVIRONMENTAL HEALTH DEPARTMENT <br /> 2l <br /> 304 East Weber Avenue, 3"Floor, Stockton, CA 95202-2708 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: p & Date: M�6 <br /> Address: It/ City: Zip Code: 9 j�j-4j <br /> Owner/Operator: pr1lotO& <br /> Telephone:dU'?_ 7 -60 <br /> Program Element: Program Record: 5a-(�3$Q Inspection Type: ' <br /> SB180 Posted es ❑ No Permit Posted wlyes ❑ No Reinspection on or After: <br /> "Phe items marked and/or listed below are violations detailed in the Califom is 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 ofthe food <br /> establishment. "Minor"indicates a violation that does not pose an imminent public health risk,but warrants timely correction as noted. <br /> Critical Risk Factors m.- nanur I I'he marked violations represent Health&Safety Code Violations and must be corrected as follows: <br /> Improper holding temperature of potentially 1 2 <br /> n hazardous food IJf� <br /> b Inadequate cooking temperatures/practices 3 4 /'!/`-W W�"♦ <br /> o Improperreheating temperatures/practices 5 6 <br /> 0 <br /> LL <br /> Improper cooling practices 7 8 <br /> Adulterated/Contaminated food 9 10 <br /> n <br /> c <br /> Reused/retumed food 11 12 <br /> o Cross contamination or improper handling 13 14 <br /> of food/fJtensils/Fquipment <br /> LL <br /> o Unapproved food source 15 16 <br /> 0 <br /> LL Improper thawing of potentially hazardous <br /> 17 8 <br /> food <br /> III employee/cuts/rashes i9 20 <br /> c <br /> Lack ofproper'hand washing procedure 21 22 <br /> 'x e- Required sink(s)/dish washing machine <br /> 23 24 <br /> o � - removed,inoperable,inaccessible <br /> u�. y Unsanitary Food Facility Conditions- 25 28 <br /> Critical/Non-Critical Area <br /> ea riot waternot available 27 28 <br /> c <br /> at ._ Lack of potable water supply 29 30 <br /> 3 <br /> N Improper sanitizer concentration/methods/ <br /> 31 32 <br /> testing equipment <br /> Sewage system failure/back up 33 34 <br /> c <br /> a <br /> No opemble/accessible toilets 35 36 <br /> v' > Rodent/Cockroach/Other vermin infestation 37 38 <br /> LNVIRONMEN"FAL HEALTH AND SERVICE CHARGE PEES ARE AUTHORIZED BY RESOLUTION OI' SAN JOAQUIN COO,\, Y BOARD OF $UPEI2VISOI25. ALL <br /> DOCUMENTED CRITICAL HEALTH VIOLATIONS OR RITFAT VIOLATIONS ARE SU13JFCr TO A REINSPECTION AND REINSPECTION FEi.. ALL UNPAID CHARGES <br /> ASSOCIATED WITH THE FACILITY OWNER OF RECORD OR APPLICANT SHALL BE PAID PRIOR'1'0THE ISSUANCE OF A PERM1'1'"I O OPCI2A'I F. <br /> ITEM/LOCATION TEMP ITEM/LOCATION TED1P ITEM/LOCATION TEa1P <br /> Food Safety Certification Required: Yes❑ No tQ„ Time in: am/ no Timeout, <br /> anal <br /> Certificate Issued By: Date:_/_/_ ` ( Received By:"All I fI' K✓ <br /> Name on Certificate: Inspected By: <br /> RHD 16-023 <br /> 311712004 See Reverse Side For Additional Information Pagel of _ <br />