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SAN J O A U U I N Environmental Health Department <br /> -COUNTY <br /> Time In: 8:50 am <br /> Time Out: 9:15 am <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: POPCORN ETC Date: 12/08/2017 <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 /> #35 Equipment/Utensils Approved and in Good Repair <br /> OBSERVATIONS: Observed debris on equipment. General cleaning needed. <br /> CAL CODE DESCRIPTION:All utensils and equipment shall be fully operative and in good repair.(114175).All utensils and equipment <br /> shall be approved, installed properly, and meet applicable standards. (114130, 114130.1, 114130.2, 114130.3, 114130.4, 114130.5, <br /> 114132, 114133, 114137, 114139, 114153, 114155, 114163, 114165, 114167, 114169, 114172, 114177, 114180, 114182) <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: 145°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 /> Churro cart <br /> Ok to issue 2018 permit <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 reinsspeenct^ion,is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Corrine sealey, <br /> EH Specialist: STEPHANIE RAMIREZ Phone: (209)468-9851 <br /> FA0006976 PR0505745 SCO01 12/08/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />