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Time In: 8 45 am <br /> Time Out: 9:30 am <br /> San Joaquin County <br /> ?� Environmental Health Department <br /> N: X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �.• q_ �P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> 4tiFoae� <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: RICE POT MOVEMENT#71­165261 r7lDate: 04/25/2017 <br /> Address: 1301 S SACRAMENTO ST, LODI 95240 <br /> Requestor: SARAVY YEM Telephone: (916)693-0578 <br /> Program Element: 1635-MOBILE FOOD PREPARATION UNIT(MFPU) Request#: SR0077290 <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 /> #66 Lack of Protection from Contamination <br /> OBSERVATIONS:Self closing door lacking. Provide in 2 weeks. <br /> CALCODE DESCRIPTION:1. Employee entrance doors for occupiable mobile food facilities are not selfclosing or not kept closed. <br /> [§114303(a)] 2. The mobile food facility and all equipment and utensils are not protected from potential contamination,and not kept clean, <br /> not in good repair and not free of vermin.[§114303(b)] 3. Food,food contact surfaces, and utensils are not protected from contamination. <br /> [§114303(c)] 4.For unenclosed mobile food facilities handling non-prepackaged food, there is not available on the mobile food facility an <br /> approved written operational procedure for food handling and the cleaning and sanitizing of food contact surfaces and utensils. <br /> [§114303(d)] <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Saravy Yem Expiration Date: March 28,2019 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 123°F <br /> Quaternary Ammonia(QA): 200 ppm Hand Sink Temp: 108°F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> LIC 71­165261 <br /> VIN ...01097 <br /> OK to issue permit after fee is paid. PE 1635 <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: SARAVY YEM, OWNER <br /> EH Specialist: JEFFREY WONG Phone: (209)468-0335 <br /> FA0022185 SR0077290 SC061 04/25/2017 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />