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Time In: 8:30 am <br /> Time Out: 8:35 am <br /> a�rN San Joaquin County <br /> :a Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c4 = a�P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> %FOR <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: POPCORN ETC Date: 12/21/2015 <br /> Address: 100 S CHEROKEE LN, LODI 95240 <br /> Owner/Operator: SEALEY, CORRINE & ROBBIN Telephone: (209) 625-5088 <br /> Program Element: 1633 - FOOD VEHICLE/CART(LTD FOOD PREP) <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: Shannon Sealey Expiration Date: May 09, 2019 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 110°F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Serial number of trailer (with handwash) ...YT112752 <br /> No violations noted. OK to issue 2016 permit after fee is paid. PE 1633 <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: Corrine Sealey, owner <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0021182 PR0516774 SCO01 12/21/2015 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility OIR <br />