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Time In: B-40 am <br /> Time Out: 9:15 am <br /> .... .M. San Joaquin County <br /> Environmental Health Department <br /> ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.or,/q ehd <br /> RclFaaa <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: FIESTA BRAVA XS36935 Date: 12/17/2015 <br /> Address: 2440S AIRPORT WAY,STOCKTON 95206 <br /> Owner/Operator: CAMPOS, ENEDINA Telephone. <br /> Program Element: 1635- MOBILE FOOD PREPARATION UNIT(MFPU) <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 /> #27 Food Protected from Contamination <br /> OBSERVATIONS: Ice has brown on it. Clean in 1 week. <br /> CALCODE DESCRIPTION:All food shall be separated and protected from contamination. (113984(a, b, c, d, f), 113986, 114060, <br /> 114067(a, d, e,j), 114069(a, b), 114077, 114089.1 (c), 114143(c)) <br /> #64 Lack of Proper Owner Identification <br /> OBSERVATIONS:One side of vehicle lacking city, state, zip code and owner's name in 1 inch lettering. Correct in 2 weeks. <br /> CALCODE DESCRIPTION: 1. The business name or the name of the operator, city state and ZIP code, and the name of the permittee if <br /> different from the business name is not clearly visible on the customer side of the mobile food facility.[§114299(a)] 2. Business or <br /> operator name is not at least 3 inches high and address is not one inch high.[§114299(b)] 3. Sign is not in contrasting color with the <br /> vehicle exterior.[§II4299(b)] 4. For a motorized vehicle and a mobile support unit, the sign is not present on both sides of vehicle. <br /> [§114299(c)] <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Enedina Campos Expiration Date: December 26,2019 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 131 °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 121 °F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> Reach-in -31.00°F Steamtable-- 135.00° F <br /> NOTES <br /> Ok to permit for 2016 once fees have been paid. <br /> PE 1635 <br /> Lic#4S36935 <br /> Vin#..5293 <br /> FAC015395 PRO522600 SCO01 12/17/2015 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Mobile Food Facility OIR <br />