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Time In: 930 am <br /> Time Out: 10:00 am <br /> �P.Q•�tk. P San Joaquin County <br /> .X Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �•.• �P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> '9C%FORM <br /> Food Program Service Request Inspection Report <br /> Name of Facility: MAMA MAI'S VIETNAMESE KITCHEN Date: 03/17/2017 <br /> Address: 1412 ROSEMARIE LN , STOCKTON 95207 <br /> Requestor: MY NGUYEN, MAMA MAI'S VIETNAMESE KITCHEN Telephone: (209)479-8870 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0076365 <br /> Inspection Type: 061 -CONSULTATION <br /> VIOLATIONS AND CORRECTIVE ACTIONS <br /> Items listed on this report as violations do not meet the requirements set forth in the California Health and Safety Code commencing with section 7; <br /> 113700.All violations must be corrected within specified timeframe. Violations that are classified as"MAJOR"pose an immediate threat to public health <br /> and have the potential to cause foodborne illness.All major violations must be corrected immediately.Non-compliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 26°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 126°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 door prep--front--45.00°F 3 door prep--back--40.00°F <br /> NOTES <br /> ok to issue permit once fee is paid. Program 1623 Fee$318+$69.50 for second visit. Return to office by 03/20/17 to pay fees <br /> Work on the following : <br /> 1.Provide food manager certificate by 60 days and food handler cards by 30 days <br /> 2.The 2 door prep cooler at the front shall be 41 F or lower. <br /> 3.Freezer at customer area shall be kept locked. <br /> 4.13ase tiles under cooking equipment shall be glued back in place and the one missing shall be provided. Grout them after <br /> they are repaired. <br /> 5.Absorbent wall behind sinks shall be repaired and painted. Caulk back splash to walls. <br /> 6.Some floor corners are still not clean and have dead roaches. Detail clean. <br /> 7.Saw dead roach on shelve. Remove and detail clean. <br /> 8.Provide a splash guard between hand sink and prep sink. It shall be at least 6 inches in height. <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: my nguyen, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209)953-7817 <br /> FA0012772 SR0076365 SC061 03/17/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />