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,aP"u!ry•.rA� SAN JOAQUIN COUN' <br /> g ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .. ;� Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.sagov.org/ehd <br /> 4ticdW`' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: rimlyPD Date:J �S <br /> Address: r rep City: Zip Code: <br /> Owner/Operator:: !I Y r,^rf)„ � Telephone: GPS7-2732,3 <br /> Program Element: p�1 Program Record:_ Q 1 (p Inspection Type: <br /> 8180 Posted Yes No Permit Posted es 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 /> 5Ma'or violations pose a threat to public health and must be coffeeted immediately. Noncmolisnce may warrant closure of the food facility <br /> er wu w• Demonstration of Knowledge rw our cos Supervision <br /> 1. Demonstration of knowledge;food safety certificate 24. Person In Charge is present and performs duties <br /> Employee Health and Hygiene _ Personal Cleanliness _ <br /> - <br /> . Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints <br /> No discharge from eyes,nose,or mouth;no open wounds General Food Safety Requirements <br /> . Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used <br /> _Preventing Contamination by Hands - 7. Food protected from contamination during storage <br /> Hands clean and property washed;proper glove use 28. Washing fruits and vegetables before use <br /> Handwashing facilities supplied and accessible 29. Toxic substances property identified,stored,and used <br /> _ Time and Temperature Relationship Food Storage/Display/Service <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 sell-service food protected;Individual utensils provided <br /> . Proper cooling methods 32. Food properly labeled and honestly presented <br /> 0. Per cooking time and temperatures Equipment/Utensils/Linens <br /> 11. Proper reheating procedures for hot holding . Nonfood contact surfaces clean <br /> Protection From Contamination 34. Warewashing facilities maintained;test strips available <br /> 12. No re-service of returned food I LA 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 sanitlzedMarewashing procedures 37. Vending machines maintained <br /> Food From Approved Source 38. Approved and sufficient ventilation and lighting <br /> 15. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible <br /> 16. Compliance with shell stock regulations;tagstdisplay 40. Proper use and storage of wiping cloths <br /> . Compliance with Gulf oyster regulations Physical Facilities <br /> Conformance With Approved Procedures 41. Plumbing maintained;proper back flow prevention <br /> 8. Compliance with HACCP plan or variance conditions 42. Garbage and refuse properly disposed <br /> Consumer Advisory 43. Toilet facilities clean,supplied,and maintained <br /> 19. Advisory provided for raw or undercooked food 11 11 1 44. Premises;personal/cleaning Items;vermin-proofing <br /> Highly Susceptible Populations Permanent Food Facilities <br /> 0. Prohibited foods not offered at high dsk facilities 45. Floors,walls and ceiling are maintained and kept clean <br /> Water/Hot Water 46. No living or sleeping quarters inside facility <br /> 1.Hot and cold potable water available. Compliance and Enforcement <br /> Liquid Waste Disposal 47. Signs posted;last inspection report available <br /> 2. Sewage/wastewater property disposed;toilet facility useabi 48. Compliance with plan review requirements <br /> _ Vermin 49. Facility operating with a valid health permit <br /> I 3. No rodents,insects,birds or animals inside facility 50. Impoundment <br /> 1. Permit Suspension <br /> Received Byfritle: <br /> EH Specialist: C71�•�� Phone: e l� WTI Pagel of-z, <br /> EHD 1623)tsl)g) 49112 C./ `/ 7 FOOD PROGRAM OIR <br />