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: SA NUJ FAQ U I N Environmental Health Department <br /> ._ COUNTY <br /> Tl : 4:57 pm <br /> ^'•ti7F Opt�� Greotness grows here. <br /> Timee OOutut: 5:15 am <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: JAVA TZ INC (CART/KIOSK) Date: 10/12/2019 <br /> Address: 248 W FREMONT ST, STOCKTON 952032800 <br /> Owner/Operator: BURCHARD, JUSTIN L Telephone: <br /> Program Element: 1633-FOOD VEHICLE/CART(LTD FOOD PREP) <br /> Inspection Type: OT ROUTINE INSPECTION (No Charge) <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 /> #1 Demonstration of Knowledge <br /> OBSERVATIONS:Food saftey certifcate is currently not on site. Provide a copy to Victor Acevedo(vmacevedo@sjgov.org) <br /> within 30 days. <br /> CALCODE DESCRIPTION:All food employees shall have adequate knowledge of and be trained in food safety as it relates to their <br /> assigned duties. (113947)Food facilities that prepare,handle or serve non-prepackaged potentially hazardous food,shall have an <br /> employee who has passed an approved food safety certification examination. (113947-113947.1)Any food handler hired after June 1, <br /> 2011 shall obtain a Food Handler Card within 30 days(113948). <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Robert Taylor Expiration Date:July 21,2019 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 108°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> 2 Dr Everest cooler--41.00°F <br /> NOTES <br /> Java J'z routine cart inspection. <br /> Official inspection report emailed. <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: Robert Taylor, Director FNB <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)468-0337 <br /> FA0021109 PR0536743 SC901 10/12/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />