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oe4 N. 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.sigov.oro/ehd <br /> C/sba <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Round Table Pizza Date:1/19/2023 <br /> Address:8010 Holman Rd City: Stockton Zip Code:95212 <br /> OwnerlOperator: Telephone: <br /> Program Element:1626 Program Record:PRO524675 Inspection Type:Routine <br /> 6180 PostegJi Yes€ No Permit Posted€Yes No Re-Inspection on or After: <br /> IN=In Compliance NIO=Not Observed NIA=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 immediately. Non-compliance may warrant closure of the food facility <br /> w wo wn Demonstration of Knowledge uX our cos Supervision our <br /> 1. Demonstration of knowledge;food safety certificate 24. Person In Charge Is present and performs duties <br /> E: mployee Health and.Hygiene Personal Cleanliness <br /> 2. Communicable disease;reporting,restrictions&exclusions 25. Personal cleanliness and hair restraints <br /> 3. No discharge from eyes,nose,or mouth;no open wounds .G p era) oo_dEiafe�t r Re_gy cements __ <br /> Proper eating,tasting,drinking,or tobacco use 26. Approved thawing methods used <br /> urination by Hands 27. Food protected from contamination during storage <br /> 5. Hands clean and properly washed,proper glove use 28. Washing fruits and vegetables before use <br /> 6. Handwashing facilities supplied and accessible 29. Toxic substances properly 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 self-service food protected:individual utensils provided <br /> Propercooling methods 32. Food properly labeled and honestly presented <br /> 10. Proper cooking time and temperatures p p e:tl Utensils-(Linens. <br /> 11. Proper reheating procedures for hot holding 33. Nonfood contact surfaces dean <br /> '.Protection From Contamination - 34. Warewashing facilities maintained;test strips available <br /> 12. No re-service of returned food 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 sanitizedlwarewashing procedures >ej 37. Vending machines maintained <br /> -'Fd_67dWm Approved Source - 38. Approved and sufficient ventilation and lighting <br /> L15. Food obtained from approved source 39. Thermometers provided,accurate,and easily visible <br /> 16. Compliance with sheli stock regulations;tags/display 40. Proper use and storage of wiping cloths <br /> 17. Compliance with Gulf oyster regulations <br /> �s Conformance With Approved Procedures 41. Plumbing maintained;proper back flow prevention <br /> 16. 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 44. Premises;personal/cleaning items,vermin-proofing <br /> Highly Susceptible Populations Permanent Food Facilities <br /> 20. Prohibited foods not offered at high risk facilities 4 5. Floors,walls and ceiling are maintained and kept clean <br /> Water/Hot Water 46. No living or sleeping quarters inside facility <br /> 21.Hot and cold potable water available. Compliance and Enforcement <br /> Liquid Waste Disposal EFacility <br /> ed;last inspection report available <br /> 22. Sewage/wastewater properly disposed;toilet facility useable with plan review requirements <br /> Vermin erating with a valid health permit <br /> 23. No rodents,insects,birds or animals inside facility ent <br /> pension <br /> Received By/Title Discussed report with Avatar Singh <br /> EH Specialist:Darla Afonskala Phone:209-616-3025 Page 1 of 2 <br /> EHD 1623(tst pi 411 FOOD PROGRAM OR <br />