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Time In: 1:00 Pin <br /> Time Out: 1:2� <br /> Wly' San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .a Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.s'clov.org/ehd <br /> Food Program Official Inspection Report <br /> Name of Facility: MOM'S BOMB Date: 07/07/2017 <br /> Address: 3925 WILLIAM CT,STOCKTON 95204 <br /> Owner/Operator: MATTERA, MAUREEN Telephone: <br /> Program Element: 1609 -CLASS B COTTAGE FOOD-INDIRECT SALES <br /> Inspection Type: ROUTINE INSPECTION -Operating Permit <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: Maureen Mattera(food handler card) Expiration Date:June 22,2019 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 126°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 126°F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> No violations <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: Maureen Mattera, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: _(209) 953-7817 <br /> FA0023531 PRO541095 SCO01 07107/2017 <br /> EHE 16-23 Rev.06130/15 Page 1 of 1 Food Program OIR <br />