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1 _ S A N J O A Q U I N Environmental Health Department <br /> 6. COUNTY <br /> J <br /> c �r <br /> GrevtTime In: 10 15 am <br /> r+�ess nrc►ws hero. <br /> s �~ Time Out: 11:15 am <br /> Mobile Food Facility Official Inspection Report <br /> Name of Facility: LOCKEFORD MEAT SERVICE Date: 11/27/2018 <br /> Address: 19775 COTTON ST, LOCKEFORD 95237 <br /> Owner/Operator: PETTERSEN, ROBERT J Telephone: <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 foodbome 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: 130°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 130°F <br /> FOOD ITEM--LOCATION—TEMP°F--COMMENTS <br /> Steamer—169.00°F <br /> NOTES <br /> LIC#SE508807 <br /> Hand wash station is fully supplied. <br /> No major violations observed. <br /> OIR emailed to lockefordmeat@yahoo.com <br /> Okay to permit for 2019 once fee is paid. <br /> 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 reinspectionAI <br /> Yniis required.fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: robert pettersen, OWNER <br /> EH Specialist: GEHANE FAHMY Phone: (209) 953-7698 <br /> FA0000089 PR0540245 SCO01 11/27/2018 <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 />