FOOD INSPECTION REPORT ~~!

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SAN FRANCISCODEPARTMENTOF PUBLICHEALTH Jlme In: n'ioOAv^
ENVIRONMENTAL HEALTH BRANCH Time Out: \\ '. <^0 AV^Y-
1390 Market Street, Suite 210, San Francisco, CA 94102
www. sfd h. or /d h/eh/food (415)252-3800 Page 1 of
Location Address: Inspection Type:
A.
Facility Name: ^~ Re-lnspection Dqtg:
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Owner Name: one: Location I. D.:
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Exp. Date:
D Permit Posted D Inspection Report Posted LicenseCertificateClassNo.. ^ <^^\^
Person In Charge:
FoodSafetyManager: ^^ c^a\\a \^ Exp. Date:

SECTION1: High Risk Violations(HRV) 7 Pts Each The marked violations are California Retail Food Code violations and must be corrected.
HRV disqualifies Symbol of Excellence cos*
EMPLOYEE HEALTH/HYGIENE
1 Communicable disease - Unreported or
unrestricted ill employee
^ ' 0

PREVENT CONTAMINATION BY HANDS ^ \\~ s rrr>' ^

2 Hands not clean / improperly washed / gloves
improperly used c. '
TIME & TEMPERATURE RELATIONSHIPS
3 High risk food holding temperature
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^or. ^ ^8 . LUCL-S
4 Time as apublic health control - Unauthorized or
unsafe use VlAVG a. S ^ O^T
5 Improper cooling methods
6 Improper cooking time / temperatures v t.
^. \ e> e Slna\l^ -. - <a
7 Improper reheating of food
PROTECTION FROM CONTAMINATION
8 Contaminated or adulterated food
o( ^ .' ^ \ . TV.^ c^i
9 Unclean or unsanitary food contact surfaces (\ <irr\a 3. ^~o e \^ \ <^
FOOD FROM APPROVED SOURCES
10 Unapproved food source
HIGHLY SUSCEPTIBLE POPULATIONS
n n^v -lta -e/^
11 Prohibited food served to sensitive population '^>n ^ W\3
WATER/HOT WATER
12 No hot water or running water
LIQUID WASTE DISPOSAL
c\ c "5^ Oi sW< -cm
13 Sewage or wastewater contamination Uoc or o \/v ar\
VERMIN
14 odents, roaches, flies, or other animals
r\-e C\o^^r^ s\ Slncii^ <y^
15 Other high risk violation
SECTION 2: Moderate Risk Violations 4 Pts Each r rA \»-e Y, r~- /v\^
DEMONSTRATION OF KNOWLEDGE
16 Inadequate food safety knowledge or lack or
certified food safety manager
EMPLOYEE HEALTH / HYGIENE
17 Dischargefrom employee nose, mouth, or eye
18 Employee eating or smoking \^ \^\ c%A
PREVENT CONTAMINATION BY HANDS
19 Inadequate and/or inaccessible handwashing DEDUCTIONS: e
facilities High Risk:
TIME & TEMPERATURE RELATIONSHIPS -7 c '^ a rv> \
20 Moderate risk food holding temperature Mod Risk:
21 Time as a public health control - Inadequate 4 '-^a Co ^ /^^
procedures or records Low Risk:
PROTECTION FROM CONTAMINATION
22 Reservice of previously served foods
^ n -^r. \
FINAL
23 Food in poor condition %\ Cw\ m\ s> s
24 Inadequately cleaned or sanitized food contact
surfaces This Report Shall Be Posted In Public View
FOOD FROM APPROVED SOURCES
25 Noncompliance with shell fish tags or display einspection Fee Applicable For Violations No. 1 Thru 15
26 Noncompliance with Gulf Coast oyster EHS (Print)- , Signature:
regulation <ja/
Phone: i-^- Q c~ Recei :

*COS. Corrected On Site Middle CODV - Ooerator CODV

 SFDPH, Environmental Health Branch
SECTION2: (Continued)
1390 Market Street, Suite 210, San Francisco CA 94102
cos
(415)252-3800 Page 2_., _M
. CONFORMANCE TO APPROVED PROCEDURES Location Address: Inspectio Date:
27 Noncompliance with HACCP plan or variance 5 -7 \
CONSUMER ADVISORY Business Name: ^^ _ Re-lnspection Date:
28 Consumer advisory not provided for raw or ST GD ^ . ^i""r"'""""7"'ro^
undercooked foods The marke iolations are California Retail Foo ode olations and must be corrected.
WATER/HOT WATER (Failure To Comply May Result in a Citation and / or Fines)
29 Insufficient hot water or running water
LIQUID WASTE DISPOSAL / VERMIN ^ c\ /\ ar\
30 Inadequate sewage / wastewater disposal
31 Rodents, roaches, flies, or other animals LA3\ f\
GENERAL FOOD SAFETT REQUIREMENTS
32 Improper thawing methods
33 Foods not protected from contamination
S& ui-Vt Co ^0 '<2f ^0^
34 Other moderate risk violation
SECTION 3: Low Risk Violations 2 Pts Each
C ^ l^^ct
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SUPERVISION s' \
35 No person in charge of food facility t:
PERSONALCLEANLINESS \/ UJ7 S<3d v ^
36 Unsanitary employee garments / hair / nails
GENERAL FOOD SAFETT REQUIREMENTS Or^JL r e \/\ oz -v^ \J^fY\\
37 Improperly washed fruits and vegetables
38 Improper storage, use or identification of toxic - OL Vx»('\x)r \
substances
FOOD STORAGE / DISPLAY / SERVICE \^ oo r SlA^GA cc\-
39 Improper food storage
40 Improper food labeling or menu misrepresented r . Vro^ o^'^f\ +f& 5
EQUIPMENT/ UTENSILS / LINENS
41 nclean nonfood contact surfaces
Inadequate warewashingfacilities / equipment
43 Unapproved / unmaintained equipment or \? -e ^
utensils
44 Improper storage of equipment utensils or a ^ 0 ^ Cd 4^ )
linens
45 Inadequate ventilation or lighting
46 No thermometers or uncalibrated
-+ r OfS o^ (~n>n oo>A
47 Wiping cloths not clean or properly stored or \xclc. dE- -Pci-cif
inadequate sanitizer
PHYSICAL FACILITIES ^ T) oP\ ^ n<
48 Improper or defective plumbing
49 Inadequate or unsanitary refuse containers or >c»b\ Cu
area or no garbage service
50 Unclean, unmaintained or improperly constructed V) G - - c\
toilet facilities
51 Inadequate dressing rooms or improper storage of or\ C>Ver\
personal items
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PERMANENT FOOD FACILITES r \oC<^ Ut)^ ^
52 Unclean or degraded floors, walls or ceilings
53 Unapproved living quarters in food facility
SIGNS & OTHER REQUIREMENTS
5 Permit / license / inspection report not posted c . C<5 \ S Co. r
55 Food safety certificate or food handler card
not available ^ ^S=t r
56 Unpermitted food facility
57 Worker safety hazards
58 Inadequate HACCP plan record keeping rr^tcV\Y -cs . ^ oo, V)
r nea r.
VERMIN ermit Suspension D CitationIssued D Impoundment/ VCD
59 Rodents, roaches, flies, or other animals e Permitteehasthe rightto a hearingif requested Inwritingwithin1 S calendardaysof receiptofthis noticeto show
cause why the permit to operate should not be suspended or revoked; otherwise the right to a hearing shall be deemed
waived.
OTHER
go Non-service animal REHS:
61 Noncompliance with Cottage Food Operation UJ^Q.
62 No plan review and/or Building Permit Receiyed,By:
63 Labor law notifications not posted
64 Other low risk violation ^ t^n '^_
 SFDPH, Environmental Health Branch 1390 Market Street, Suite 210, San Francisco CA 94102 (415)252-3800 Page ^±
Legation Address: /-, > . _ . , , /-.. Inspection Date:
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Business Name: ^_ ^ , /~ /'«. -. /-N Re-lnspection Date:
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e marked violations are California Retail Fo Code violations and must be corrected.
(Failure To Comply May Result in a Citation and / or Fines)

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 SFDPH,EnvironmentalHealthBrancti 1390MarketStreet,Suite210,SanFranciscoCA94102 (415)252-3800 page ^L.<^
Legation Address: Inspection Date:
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Business Name: r /^ . ^^ » _ Re-lnspection Date:
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The marked violations are California Retail Fo d Code violations and must be corrected.
(Failure To Comply May Result in a Citation and / or Fines)

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