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1600 - Food Program
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PR0522240
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Last modified
11/19/2020 2:07:56 PM
Creation date
5/7/2019 9:33:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0522240
PE
1633
FACILITY_ID
FA0015151
FACILITY_NAME
BLACKWATER ON WHEELS #4GA6786
STREET_NUMBER
912
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
912 YOSEMITE AVE
P_LOCATION
01
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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•• - Time In: 8 35 am <br /> Time Out 8:41 am <br /> San Joaquin County <br /> y Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> Food Program Service Request Inspection Report <br /> Name of Facility: BLACKWATER ON WHEELS AGA6786 Date: 11/01/2017 <br /> Address: 912 N YOSEMITE AVE, STOCKTON 95204 <br /> Requestor: PATRICK SALISBURY, BLACKWATER ON WHEELS AGA6786Telephone: (209)4234148 <br /> Program Element: 1603 - FOOD VEHICLE INSPECTION Request#: SR0078249 <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.Noncompliance may warrant immediate closure of <br /> the food facility. <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> FOOD ITEM —LOCATION --TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Owner came back to have the information on the cart verified by this department. <br /> Ok to permit. Obtain permit prior to operating the business. <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 houriy rate. <br /> Received by: Name and Title: Patrick Salisbury, owner <br /> EH Specialist: VIDAL PEDRAZA Phone: (209)468-0334 <br /> FA0015151 SR0078249 SCO61 11/01/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Food Program Service Request Inspection Report <br />
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