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S`^\ N AIDAI I I Environmental Health Department <br /> OAQUIN <br /> COUNTY — <br /> s4�ja a' Greorness cyrow5 lip, Time In: 8:30 am <br /> Time Out: 8:40 am <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: LEE FARM#8875660 Date: 01/02/2020 <br /> Address: 8530 E ACAMPO RD, ACAMPO 95220 <br /> Owner/Operator: LEE, SALLY Telephone: c/82_ YJ?37 <br /> Program Element: 1636 - LTD FOOD VEHICLE(PRODUCE/WHOLE FISH) <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: Expiration Date: <br /> Warewash Chlorine(Cl): ppm Heat °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: °F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> No Violations <br /> Ok to issue permit for 2020 <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: Sally Lee, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0023680 PR0541328 SCO01 01/02/2020 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility OR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />