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S A N�J O A Q U I N Environmental Health Department <br /> (v� Time In: Q nn a <br /> COUN1 Y-- <br /> Time Out: 9:44 am <br /> �f t Greotness grows here <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: LAS MARIS Date: 11/25/2019 <br /> Address: 2900 E HARDING WAY,STOCKTON 95205 <br /> Requestor: BRETON NELSON, LAS MARIS Telephone: (209)870-9658 <br /> Program Element: 1603-FOOD VEHICLE INSPECTION Request#: SR0081458 <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 /> #1 Demonstration of Knowledge <br /> OBSERVATIONS:Operator currently lacks food safety certificate on site. Provide a copy to Victor Acevedo <br /> (vmacevedo@sjgov.org)within 60 days. <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 /> #41 Plumbing Maintained;Approved Back Flow Device <br /> OBSERVATIONS:Observed waste valve missing cap. Provide to ensure proper plumbing maintenance. Correct before <br /> operation. <br /> CALCODE DESCRIPTION:The potable water supply shall be protected with a backflow or back siphonage protection device,as required <br /> by applicable plumbing codes. (114192)All plumbing and plumbing fixtures shall be installed in compliance with local plumbing <br /> ordinances,shall be maintained so as to prevent any contamination,and shall be kept clean,fully operative,and in good repair. Any hose <br /> used for conveying potable water shall be of approved materials,labeled,properly stored,and used for no other purpose. (114171, <br /> 114189.1, 114190, 114193, 114193.1, 114199, 114201, 114269) <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> OBSERVATIONS <br /> Name on Food Safety Certificate: Needed Expiration Date: <br /> Warewash Chlorine(Cl): 100 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 /> 3 Door Prep Cooler--38.00°F <br /> NOTES <br /> Consultation inspection. <br /> LIC#6S22038 <br /> VIN: ...0335 <br /> Program Element: 1635 <br /> SR0081458 SC061 11/25/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 2 Mobile Food Facility Service Request Inspection Report <br />