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Time In: 9:05 am <br /> Time Out: 9:19 am <br /> San Joaquin County <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .. Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.seg ovor_/q ehd <br /> 4L�FOR� <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: LOS TRES HERMANOS#3Z35893 Date: 12/19/2016 <br /> Address: 2900 E HARDING WAY, STOCKTON 95205 <br /> Requestor: ANGELITA SIXTOS-TOMAS, LOS TRES HERMANOS Telephone: (209) 629-3451 <br /> Program Element: 1603 - FOOD VEHICLE INSPECTION Request#: SR0076443 <br /> Inspection Type: 001 - 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 /> #1 Demonstration of Knowledge <br /> OBSERVATIONS: Provide a food handler card for all employees within 30 days of hire. <br /> CALCODE DESCRIPTION:All food employees shall have adequate knowledge of and be trained in food safety as it relates to their <br /> assigned duties. (113947)Food facilities that prepare, handle or serve non-prepackaged potentially hazardous food, shall have an <br /> employee who has passed an approved food safety certification examination. (113947-113947.1)Any food handler hired after June 1, <br /> 2011 shall obtain a Food Handler Card within 30 days(113948). <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Angelita Sixtos Expiration Date:January 10,2021 <br /> Warewash Chlorine(Cl): ppm Heat: °F Water/Hot Water Ware Sink Temp: 120°F <br /> Quaternary Ammonia(QA): ppm Hand Sink Temp: 100°F <br /> FOOD ITEM --LOCATION --TEMP°F--COMMENTS <br /> Steam table-- 150.00°F 2 dr cooler--41.00° F <br /> NOTES <br /> Ok to issue permit for 2017 after the fee of$215 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 /> ����✓ � . <br /> Received by: �' Name and Title: Angelita Tomas, Owner <br /> EH Specialist: LEYNA HUYNH Phone: (209) 468-3446 <br /> FA0018747 SR0076443 SCO01 12/19/2016 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />