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4 <br /> Environmental Health Department <br /> SAK OAQUIN <br /> ' COUNTY— Time In: 1-00 p <br /> Time Out: 3:58 pm <br /> Greotness grows here. <br /> Mobile Food Facility Service Request Inspection Report <br /> Name of Facility: NOM NOM GRUB CART Date: 08/26/2019 <br /> Address: 2900 E HARDING WAY,STOCKTON 95205 <br /> Requestor: R SOMERVILLE, NOM NOM Telephone: (209)513-2864 <br /> Program Element: 1602-FOOD CONSULTATION Request#: SR0081082 <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 foodbome illness.All major violations must be corrected immediate/y.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: N/A Expiration Date: <br /> Warewash Chlorine(Cl): ppm Hut F Water/Hot Water Ware Sink Temp: °F <br /> Quaternary Ammonia(QA): pprlr Hand Sink Temp: °F <br /> FOOD ITEM--LOCATION--TEMP°F--COMMENTS <br /> No Temperature Data Collected <br /> NOTES <br /> Food cart consultation. <br /> Vehicle is a motorized cart,with a Gambro hot hold and ice chest for drinks.Vehicle will sell prepackaged food coming from <br /> NOM NOM GRUB mobile food unit. <br /> Food will be monitored with a time log and disposed of if not sold after the four hour mark. <br /> There will be no food preparations or food handling of any kind with food cart. <br /> Ok to issue permit for 2020 once fees have been paid. <br /> Program element: 1634 <br /> Official inspection report given to owner. <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 /> Y <br /> Received by: Name and Title: Robert Somerville,Owner <br /> EH Specialist: VICTOR ACEVEDO Phone: (209)468-0337 <br /> SR0081082 SC061 08/26/2019 <br /> EHD 16-23 Rev.06/30/15 Page 1 of 1 Mobile Food Facility Service Request Inspection Report <br />