Laserfiche WebLink
SAN .JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siaov.ong/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Date: 01-0.6-2-3 <br />Address: 19w?_6' 1. <br />city: L INb M Zip Code: J•5 Z <br />Owner/Operator: <br />Telephone: <br />Program Element: Program Record:D5Z7 <br />2 <br />Inspection Type:1Z OUT <br />6180 Posted es ElRemit Posted ❑ Yes <br />❑ f <br />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 />_ Major violations pose a threat to public health and must be corrected immediate) . Non-compliance may warrant closure of the food _facility <br />�^: <br />u:o <br />x:f - Demonstration of Knowledge <br />rA-� cvr <br />cos <br />_supervision con <br />1 Demonshahon of knowledgefood safety certificate4. <br />r I <br />' <br />Person In Charge is present and performs duties <br />Employee Health and Hygiene <br />Personal Cleanliness <br />l2. Communicable disease: reporting. restrictions & exclusions <br />5. <br />Personal cleanliness and hair restraints <br />3. No discharge from eyes, nose, or mouth; no open wounds <br />g General Food Safety Requirements <br />Proper eating, tasting, drinking. or tobacco use <br />6. <br />Approved thawing methods used <br />Preventing Contamination by Hands <br />7. <br />Food protected from contamination during storage <br />5 Hands clean and properly washedproper glove use <br />28. <br />Washing fruits and vegetables before use <br />Handwashing facilities supplied and accessible <br />29. <br />'? <br />30 <br />Toxic substances properly identified stored- and used <br />'' Food Storage/Display/Service <br />Food storage. food storage containers labeled <br />Temperature Relationship <br />Properhot and cold holding temperatures <br />Proper use of time as a public health control <br />31. <br />Customer sett -service food protected; individual utensils provided <br />Proper cooling methods <br />Food properly labeled and honestly presented <br />10. Proper cooking time and temperatures <br />11. Proper reheating procedures for hot holding <br />Protection From Contamina4on <br />- <br />. ` <br />3. <br />Nonfood contact surfaces clean <br />4. <br />Warewashing facilities maintained; test strips available <br />12. No re -service of returned food <br />5. <br />EquipmenVutensils approved; installed; Gean; good repair <br />13. Food free from contamination and adulteration <br />36. <br />Equipment, utensils and linens: storage and use <br />�14. Food contact SL,naCe cleaned and sambzed'warewashmg procedures <br />37. <br />Vending machines maintained <br />All2. <br />Food From Approved Source <br />- <br />38. <br />Approved and sufficient ventilation and lighting <br />'u 5 Food obtained from approved source <br />16. Compliance with shell stock regulations; tags/display <br />17. Compliance with Gulf oyster regulations <br />_ <br />39. <br />Thermometers provided, accurate. and easily visible <br />0. <br />Proper use and storage of wiping cloths <br />. , :;__ _ Physical Facilities <br />.. .... <br />Conformance With'Approved Procedures <br />1. <br />Plumbing maintained; proper back flow prevention <br />1 P. Compliance with HACCP plan or variance conditions <br />2. <br />Garbage and refuse properly disposed <br />Consumer Advisory <br />43, <br />Toilet facilities clean, supplied, and maintained <br />19. Advisory provided for raw or undercooked food <br />44. <br />Premises'. personal/cleaning items: vermin -proofing <br />Highly Susceptible Populations <br />Permanent Food Facilities <br />Lo. Prohibited foods not offered at high risk facilities <br />45. <br />Floors, walls and wiling are maintained and kept clean <br />Water! Hot Water <br />6. <br />No living or sleeping quarters inside facility <br />121 1 -lot and cold potable water available. <br />Compliance and Enforcement <br />Liquid Waste Disposal <br />47, <br />Signs posted; last inspection report available <br />2. Sewage/wastewater properly disposed. toilet facility useable <br />48. <br />Compliance with plan review requirements <br />Vermin <br />3. No rodents. insectsbirds or animals inside facility <br />49. <br />Facility operating with a valid health permit <br />50. <br />Impoundment <br />51. <br />Permit Suspension <br />Received By/Title: <br />EH Specialist: CIL <br />rL A 4 Q i,+- <br />Phone: 209 - Page 1 of <br />EHD 16-23 (1st pg) 0112 FOOD PROGRAM OIR <br />