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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3d Floor, Stockton, CA 95202-2708 <br /> j Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> \S!FORN`� FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: awdu f _ Date: a_ —Q <br /> Address: a / A) /-A A)E City: Zip Code: D <br /> Owner/Operator: HQN )ZT/V6- O Telephone: 77 <br /> Program Element: 1D Program Record: Inspection Type: f.�l.�P�� <br /> /' <br /> SB 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 public health risk,but warrants timely correction as noted. <br /> Critical Risk Factors mm or minor The marked violations represent Health&Safety Code Violations and must be cortected as follows: <br /> Improper holding temperature of potentially 1 2 �— <br /> a hazardous food _. 7 (f-(:(z �( � / 5 Y <br /> E A <br /> F- Inadequate cooking temperatures/practices 3 4 S �_C// <br /> i <br /> o Improper reheating temperatures/practices 5 6 <br /> 0 <br /> Improper cooling practices 7 8 �S <br /> Adulturated/Contaminated food 9 10 CA (o e <br /> eo �-c <br /> c <br /> Reused/returned food 11 12 9� <br /> a � 6 <br /> o Cross contamination or improper handling 13 14 -- <br /> of Food/Utensils/Equipment <br /> u. <br /> o Unapproved food source 15 16 <br /> fripi0 <br /> foodoper thawing of potentially hazardousI , <br /> 7 8 Y' S <br /> ` .. III employee/cuts/rashes 19 20 <br /> v c <br /> v � lack of proper hand washing procedure 21 22 <br /> Required sink(s)/dish washing machine 23 24 <br /> o removed,inoperable,inaccessible <br /> 1+- _ Unsanitary Food Facility Conditions- p <br /> CriticaVNon-Critical Area 25 26 a _, <br /> eo Ho[water not available 27 28 _l / <br /> c 41 <br /> 1�; Lack of potable water supply 29 30 Wt <br /> 3 � I <br /> ti Improper sanitizes concentration/methods/ 31 32 <br /> testing equipment "LLGGNN[[��ll [fes <br /> Sewage system failure/back up 33 34 p — <br /> 00 — <br /> � <br /> No o erable/accessible toilets 35 36.. P <br /> v o' <br /> rn > 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 PEE. 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 /> 17M/LOCATIO TEMP7-77 ITEM/LOCATION TEMP ITEWLOCATION TEMP <br /> Food Safety Certification Required: XYes El No �/Time in: % argrpmr Time out: %��a pm <br /> Certificate Issued By: Date:7/O�QJ Received By: ���� <br /> Name on Certificate: Y1M Inspected By: <br /> EIID 16-023 <br /> 3/17/2004 See Reverse Side For Additional Information Page l of <br />