FOOD FACILITY INSPECTION REPORT
GLENN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
257 North VillaAvenue, Willows, CA95988
Phone (530) 934-6102
FAX (530) 934-61 03
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Inspection Time:
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Applicable Law CALfFORNIA RETA IL FOOD CODE (UCa/Code). beginning wifh Section 113700. California Health alld Safety Code (see reverse side ofsheetfor summary)
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'12. ;;Rctuined 'and' rcse'rV,icc of food
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'~'J'3. Food, in'.go'od:.d<.'ndiliV[\, sale, unadulterated'
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i~iI4. 1:\10<1 contact'surfact:s clCUll & sanitized
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.~ 18\C~~'npli<1l1ct~with- Ii ~(!X,=p PlaiC..­ _ _ _ I,.-.
19\'A'dvisory 'lor raw/undcrcooked food
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20. l{ca I Care I,..Seh~,QI: prohibitcd food ..
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Aoorovcd thawing methods used
Food separated and protectcd
Washing fruils and vegetables
T<lJi..iJ<. substances properly identified stored and used
QO. r~(}d slorM£~ I, Self service 32. Labeled
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33. NonlOOll contact surfaecs clean
34. Warehousing facilities maintained test slrins
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35. EQuipmenl, U1CIlSils, approved, clean eood renair
3 (::J;9uipmcnt, ulensils, anl1 linens, storaL'e and use
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37. Vending machines
38. Adequate vClllilation lind lighling
39. Thermomdcrs provided and accurate
40. Wiping cloths properly used and stored
41. Plumbing, proper backOow prcvention
42. Garbage properly disposed; facilities maintained
43. Toilet facilities supplied, properly constructed, clean
44. I'remises clean & vermin proof; personal items separat )(
45. rloors, wailS and cdllngs mainlained and clean
46. No unapproved living or sleeping quarters
47. Signs poslcd; Last inspection rcport available
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FOOD FACILITY INSPECTION REPORT
Continuation Sheet
GLENN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
257 North Villa Avenue, Willows, CA 95988
Phone (530) 934-6102 FAX (530) 934-{,)03
Page~of
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Name of Facilityl DBA:
f'
Owncr/Pcrm\lee:
Appljc~ble L~w CALlFORNflllIETAIL FOOD CODE ('Co/Code), Begir"'lIlg will> .'eel/on 113700. Co/yorn;o Hf!Olth and Safely Code
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