|
SAN JOAQUIN COUNTY
<br />ENVIRONMENTAL HEALTH DEPARTMENT
<br />304 East Weber Avenue, 3rd Floor, Stockton, CA 95202-2708
<br />13
<br />09> 8-3420 • Fax: (209) 464-0138 • Web: www.co.san-joaquin.ca.us/ehd
<br />ri-43•017 ROGRAM OFFICIAL INSPECTION REPORT
<br />Name of Facility: otcve_ pfr..tt aft)." Date: c_._0 7
<br />Address: Iqt 119v-11.050±.L City: kkAA jt----t.„- , Zip Code:
<br />Owner/Operator: Telephone:
<br />Program Element: Program Record: Inspection Type:
<br />Yes Reinspection on or After: SB180 Posted 0 Yes • No Permit Posted • No
<br />The items marked and/or listed below are violations detailed in the Califomia 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 Mnjor minor The marked violations represent Health & Safety Code Violations and must be corrected as follows: Food Temp Improper holding temperature of potentially
<br />hazardous food 1
<br />2 0 —S-11C. CLAt to i"-- COac), „ Parv :4_, acatkae low (1---
<br />Inadequate cooking temperatur - /practices 3 4 111.ki" -Is 12 21j e, 4- i 2; -traa ...
<br />Improper reheating temperat re /practices 5
<br />6 0 GT (It it-t- (2-7y4....ka-e-4/ I, bA.2._ -1-tu..j-- CO `^-rte-ct3
<br />mproper cooling practices f 7 8
<br />+to tke fctrt . Mti2,6(.0, )U4 l,e Seec4A.-t blsi-si 4 4 . Food Food Handling A ulturated/Contaminat.. food 9
<br />1° f_4a.10 0•-• art- 0.-- Prav;cit-e- kr.,..nolc....l_s -1-1, +
<br />Re sed/retumed food 11 12
<br />et 2,3 " atrave_ elf. cl._ a .NcS Oa( s .fer_s . 4
<br />Cros contamination a improper handling
<br />of Fo d/Utensils/Equ .ment 13 14 , ..... Ca..9 o it
<br />tAAe.7 11-- c›.-fitivt4 5 -ic p . C 1i°6-16-''l k -Co— foxecor Do
<br />Unapp ved food so .rce 15 16 0 5:e rt_ 6 oo s teir s ,..‘4,...bncsi. ri...evk irt or e....../...,fiyi
<br />Improp thawing . potentially hazardous
<br />food 17 18
<br />(utchibiA bp 3 FT d pi_e_d Ai. tl....e_ Food Handler Health/Practices & Facility Maint. Ill employ employ e/cuts/ ashes 19 20 Ili 4. 3 f 1.- sepa,,,_47‘,„,
<br />Lack of pro r h nd washing procedure 21 22 0 4 6,apir ONO/ 114.4._ 13 ( a_ eyic ...t
<br />Required sin s /dish washing machine
<br />removed, mop able, inaccessible 23 24 rivis Defi- 0) LK th94., ,e- flocet I td- 6,-4
<br />Unsanitary Fo , Facility Conditions -
<br />Critical/Non-Cri cal Area 25 26 th.t, 14.44,4, ;2) su,gicreAssi, ilk k...tivis, . Water Sanitizing Hot water not,, i ble 27 28 Pcrj, Se t i f- ik.c.„ ,I2
<br />) tc-, i4tilvtgit 4 0--eit i-4-••et el tO't-e--
<br />Lack of pota 'le wate upply 29 30 k 3 put- „,„„,,t, p,,,,,,„.11,,,62 ai.v,r,„,..4x ait..14 _
<br />I Improper sa itizer conc ntration/methods/
<br />testing equi ment 31 32 hOlVir eArk_41a4.-pAASr•v± CM.12,1(4 a Sewage Vermin Sewage sy tem failure/bac up 33 34 9 u‘e_ er.f/royt,t totki4A ckc,,,,)„ cis • (X-
<br />No oper4le/accessible toilet 35 36 AA-f_ IA) )44 \ 04.4A.Q..Q K 0 wviechEjs
<br />Rodent/Cockroach/Other vermin infestation 37 38 __pc 04....04.4r(1,-,cht-yi 11 12 ri, _
<br />ENVIRONMENTAL HEALTH 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 FEE. 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 />ITEM/LOCATION TEMP ITEM/LOCATION TEMP ITEM/LOCATION TEMP
<br />Food Safety Certification Required:
<br />Certificate Issued By: Date. • / /
<br />Time in: / ! Time out: am/pm IN Yes El No i
<br />Received By:
<br />/
<br />Name on Certificate:
<br />..... Inspected By: agitt, 4,
<br />See Reverse Side For Additional Information F11E/16-02-0_3
<br />3/17,2004 Page I of
|