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Time In: 1n'2n am <br /> Time Out: 10:50 am <br /> San Joaquin County <br /> a Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �.. p Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> a�;FOR�;� <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: LA MESA Date: 10/06/2016 <br /> Address: 1771 SILVER CREEK CIR, STOCKTON 95207 <br /> Requestor: NELSON A GARCIA, LA MESA Telephone: (510) 258-2661 <br /> Program Element: 1601 - FOOD PLAN CHECK Request#: SR0075377 <br /> Inspection Type: 523 - Plan Check/Report Review <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: 100°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 130°F <br /> FOOD ITEM --LOCATION --TEMP°F --COMMENTS <br /> steam table—130.00°F 1 door artic air--38.00°F <br /> 1 door true--32.00°F 1 door artic air(tall)--35.00°F <br /> NOTES <br /> LIC 4PF3992 <br /> VIN 1U9EV2825GR078298 <br /> OK to issue permit once fee is paid. Return to office. Program 1635. Fee$215 <br /> Work on the following: <br /> 1.Provide food manager certificate by 60 days. <br /> 2.Provide food handler cards by 30 days. <br /> 3.Hot water for utensil washing shall be 120 F or higher at all times. <br /> 4.Hot water for steam table shall be 135 F or higher at all times. <br /> 5.Sanitize all food contact surfaces with 100 ppm chlorine. <br /> 6.Post permit and SB180 at a customer visible location. Have sticker posted on trailer or window. <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: nelson garcia, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> SR0075377 SC523 10/06/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />