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Time In: 8:30 am <br /> Time Out: 9:00 am <br /> oeQ�'•+�. San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •.. f �a Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> 4�/pada <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: LA IMPERIAL#5D91140 Date: 03/24/2017 <br /> Address: 730 S CALIFORNIA ST , STOCKTON 95203 <br /> Requestor: DAVID ACEVES, LA IMPERIAL#5D91140 Telephone: (209)406-9051 <br /> Program Element: 1603 - FOOD VEHICLE INSPECTION Request#: SR0077040 <br /> Inspection Type: 061 - CONSULTATION <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: David Aceves Expiration Date:February 02,2022 <br /> Warewash Chlorine(CI): 100 ppm Heat: OF Water/Hot Water Ware Sink Temp: 125°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 125°F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> steam table-- 154.00°F cold box--35.00°F <br /> NOTES <br /> ok to issue permit once fee is paid. Program 1635. Fee $215 <br /> Work on the following: <br /> 1. Both side of vehicle shall have owner's name <br /> 2. Mechanical refrigeration shall be available by Dec 2017 <br /> bi�de� C � C) Aja foo <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: david aceves, owner <br /> EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br /> FA0019790 SR0077040 SC061 03/24/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />