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r: � I I I Environmental Health Department <br /> Y SA N U <br /> f �Z wti <br /> —COUNTY— Time In: 8.45 am <br /> Time Out: 9:00 am <br /> c�`�� Greotr+ess �rGws here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: LOLLIPOPS ICE CREAM#6Z82637 Date: 12/31/2020 <br /> Address: 3412 E MINER AVE , STOCKTON 95205 <br /> Requestor: AURORA G ALDAMA TELLEZ, LOLLIPOPS ICE CREAM Telephone: (408)903-7496 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0083093 <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: n/a 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 /> Change of ownership consultation inspection <br /> License plate#6Z82637 <br /> VIN...HA34731 <br /> pre-packaged food only/no food preparation <br /> OK to permit as a 1634 once the annual permit fee is paid. <br /> No signature obtained/COVID-19 <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: Discussed w/owner Aurora Aldama T <br /> EH Specialist: KADEANNE LINHARES Phone: (209)616-3025 <br /> FA0015136 SR0083093 SC061 12/31/2020 <br /> EHD 16-23 Rev.09/16/2020 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />